Irene Holt

Manage provider enrollment, ensuring compliance and accuracy.

Utilize strong organizational skills to maintain detailed records

Resolve complex enrollment issues, enhancing provider satisfaction.

Responsible for accurate name changes

Process providers effective start date changes

Responsible for Minor providers to ensure documents are received and accurate

Responsible for scanning and importing documents into County electronic document storage portal

Guide providers through enrollment procedures, offering clear explanations and assistance. Address inquiries promptly, ensuring a positive experience.

• Received and responded to member requests electronically
• Maintained member data according to HIPAA guidelines including but not limited to processing enrollments, corrections, retroactive terminations received through a third party administrator
• Responsible for cataloging daily returned mail on a spreadsheet
• Assisted new temporary employees with processing WMS folders, corrections and enrollments
• Provided back up support in answering incoming calls
• Processed payment transfers using share point
• Worked escalations and CHATS for California member accounts

• Logged call information and solutions provided into internal database.
• Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
• Responded to customer needs through competent customer service and prompt problem-solving.
• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.