To obtain a career position with a stable organization that will utilize my skills and experience to contribute the success of the organization.
Overview
25
25
years of professional experience
Work History
Member Outreach Specialist
Devoted Health
09.2022 - 09.2024
Make outbound calls to members that make have diagnosed with certain health conditions and enroll them in virtual health coaching programs or in home visits
Effectively communicate how services could benefit prospective members, overcome objectives and adapt to the members needs and concerns
Meet or exceed set goals, such as rate of enrollments, call volume and documentation quality
Determine eligibility for related plan members to ensure compliance and obtain missing information for the enrollment completion
Member Outreach Coordinator
Amedisys Home Health
05.2020 - 09.2022
Conduct outreach calls to educate members on home health services available to them
Utilize queue list of potential Amedisys members and establish initial contact and baseline with members
Build rapport, using active listening techniques, open ended conversations and motivational interviewing to identify members needs
Maintain performance accountability around member and achieves outreach and enrollment goals as an individual contributor
Intake Coordinator
EQ Health
11.2019 - 01.2020
Answer and triage all intake calls
Document information regarding referrals
Maintain professionalism in all interactions with staff, patients and families
Care Support Representative
Centene Corporation
05.2018 - 11.2019
Conduct outreach calls to contracted eligible plan members with health conditions such as CHF, Hypertension, Diabetes and COPD and get them enrolled and connected with a health coach that specializes in their condition
Builds rapport, using active listening techniques and motivational interviewing to determine and identify their needs including substance disorders, housing and medical and mental health needs
Completes and maintains documentation according to all company, federal and state guidelines
Call Center Team Lead
Direct General Insurance
02.2015 - 11.2018
Managed a team of call center agents and responsible for day day operations such as coaching, conducting evaluations, training staff and approving time sheets
Ensure daily of changes if needed
Run call volumes and abandon rates daily
Assisted with calls during high call volumes
Handles to escalation call lines when needed
Customer Service Representative
Entergy Gulf States Utilities
02.2000 - 05.2014
First point of contact for customers that may need assistance with billing, outages, start/stop service, maintenance and miscellaneous issues
Provided superior, professional and accurate information
Offered suggestions and solutions that would best suit the customers needs
Resolved problems by clarifying issues, researching and exploring answers and alternative solutions
Performing other duties and responsibilities as required or assigned
Education
High School - Modern Communication Skills, AP English and Composition, Fundamentals of Marketing and Sales, communication
Saint James High School
Saint James, La
05.1995
Skills
Communication
Leadership
Problem Solving
Time Management
Computer Literacy
Creativity
Teamwork
Customer Service
Conflict Resolution
Flexibility
Data Analysis
Outreach processes
Exceptional communication
References
Terry Johnson, Direct General Insurance, 225-802-4262, Baton Rouge, Louisiana
Timeline
Member Outreach Specialist
Devoted Health
09.2022 - 09.2024
Member Outreach Coordinator
Amedisys Home Health
05.2020 - 09.2022
Intake Coordinator
EQ Health
11.2019 - 01.2020
Care Support Representative
Centene Corporation
05.2018 - 11.2019
Call Center Team Lead
Direct General Insurance
02.2015 - 11.2018
Customer Service Representative
Entergy Gulf States Utilities
02.2000 - 05.2014
High School - Modern Communication Skills, AP English and Composition, Fundamentals of Marketing and Sales, communication