Andrea Council

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• Reviewed applications for accuracy and completeness in enrollment processes.
• Maintained up-to-date knowledge of healthcare regulations and enrollment guidelines.
• Analyze member enrollment information to ensure Medicaid and Family Care eligibility is accurately recorded in
• internal systems.
• • Validate newly enrolled member demographic information, making updates, additions, and deletions in compliance
• with enrollment rules.
• • Review and process TRR (Transaction Reply Reports), resolving discrepancies and maintaining compliance with
• CMS and state requirements• Communicate with ADRC (Aging & Disability Resource Centers) to confirm receipt and accuracy of member
• enrollment information.
• • Manage and reconcile daily enrollment inventory reports to ensure timely processing and accuracy.
• • Analyze reports of member situation changes (e.g., residence, eligibility, status) to determine impact on continued
• enrollment and benefits.
• • Collaborate with internal teams to resolve enrollment issues and ensure member data integrity.
• • Recognized for consistently meeting productivity, qu

• Coordinated patient care plans with multidisciplinary teams and healthcare providers.
• Managed patient intake processes, ensuring accurate information collection and documentation.
• Facilitated communication between patients, families, and healthcare professionals for effective care delivery.
• Scheduled appointments and follow-ups to optimize patient access to services.
• Monitored patient progress and reported changes to healthcare teams promptly.
• Assisted in data entry and maintenance of electronic health records systems for accuracy.

• Assisted applicants with enrollment processes and documentation requirements.
• Reviewed and verified application materials for accuracy and completeness.
• Coordinated communication between prospective students and academic departments.
• Resolved inquiries from applicants regarding program offerings and admission processes.
• Handled new enrollments by entering customers' data and reviewing information.
• Performed data entry and maintained accurate records of student enrollment information.

• Assisted customers with inquiries regarding insurance policies and claims.
• Resolved customer complaints through effective communication and problem-solving techniques.
• Educated clients about coverage options and benefits of various policies.

• Completed day-to-day duties accurately and efficiently.

Scheduled and confirmed appointments for Veterans and ensured insurance acceptance.

• Verified and updated claim status, resolving discrepancies in coverage records