Accomplished Healthcare Representative with a proven track record at Change Healthcare/United Healthcare-Optum, adept in healthcare compliance and patient education. Leveraged communication skills to enhance patient support and successfully mentored new team members, significantly improving team performance. Expert in navigating HIPAA regulations, ensuring patient confidentiality and care excellence.
*Complete Medical Assistance applications with uninsured/underinsured patients and Social Security Disability applications with disabled patients;
*Certified Application Counselor for the Affordable Care Act;
*Submit all applications electronically;
*Travel to multiple facilities when coverage is needed;
*Daily telephone calls to follow-up with post discharged patients;
*Home visitations;
*Identifying commercial insurance and reporting to insurance verifiers
*Complete Medical Assistance applications with uninsured/underinsured patients and Social Security Disability applications with disabled patients;
*Certified Application Counselor for the Affordable Care Act;
*Submit all applications electronically;
*Daily telephone calls following-up with patients to obtain evidence needed to process the application;
*Daily telephone calls to follow-up with county caseworkers to ensure applications are processed timely;
*Frequent home visitations;
*Identifying commercial insurance and reporting to insurance verifiers
* Resolved customer service issues using company processes and policies and provided updates to customers;
* Enhanced customer satisfaction by resolving complex issues and providing timely solutions;
*Trained, oversaw, and mentored new team members to strengthen performance and job expertise;
*Handled escalated customer complaints professionally, ensuring prompt resolution and follow-up actions were taken as necessary