Jackie Giomundo
Kenmore,NY
Summary
Accomplished and top producing medicare sales professional. Superior work ethic and communicator who consistently exceeds goals and company expectations. Strong customer service background which leads to a high retention.
Personable and organized, with knack for multitasking and maintaining positive customer service experience.
Offering strong interpersonal skills and readiness to learn and develop in fast-paced environment.
Possesses strong leadership and communication skills, adaptable to changing needs, and reliable in high-pressure situations.
Overview
28
28
years of professional experience
Work History
Pharmacy Prior Authorization Coordinator
Independent Health
03.2025 - Current
- Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
- Reduced errors in documentation by meticulously reviewing medical records and verifying patient information.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Maintained the confidentiality of sensitive patient information, adhering strictly to HIPAA regulations and safeguarding medical records appropriately.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Input all patient data regarding claims and prior authorizations into system accurately.
Medicare Sales Agent
Essential Solutions
10.2023 - 03.2025
- Utilized CRM tools to track client interactions, follow-ups, and progress toward enrollment goals efficiently.
- Streamlined the enrollment process with efficient documentation and data entry, reducing processing time.
- Helped eligible low-income seniors access financial assistance programs that reduce out-of-pocket healthcare expenses associated with Medicare plans.
- Developed a deep understanding of various Medicare plans and regulations to provide expert advice to clients in need of guidance.
- Enhanced customer retention rates by proactively addressing any issues or concerns regarding their Medicare plans.
- Consistently met or exceeded sales targets by employing effective sales strategies and techniques tailored to individual client needs.
Senior Medicare Benefit Consultant
WellCare Health Plans Inc.
07.2008 - 06.2023
- Enhanced client satisfaction by providing tailored benefit solutions for their specific needs.
- Provide quality customer service to members, prospects, providers and community contacts
- Enhanced customer satisfaction with personalized enrollment assistance.
- Resolved issues and inquiries from plan beneficiaries regarding health benefits and coverage via telephone, email, and in-person interactions.
- Provided ongoing support for clients post-implementation through regular check-ins and follow-up meetings, fostering long-term partnerships built on trust and mutual success.
- Planned and executed events and marketing programs to increase qualified leads.
Customer Service Representative
Univera Healthcare
01.1998 - 06.2008
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
Education
No Degree - Legal Administrative Assistant
Bryant And Stratton College
Getzville, NYSkills
- Goal oriented
- Product presentation
- Medicare
- Enrollment processing
- Community engagement
- Multitasking abilities
- Data entry proficiency
- Healthcare industry
- Attention to detail
- Authorizations
- Benefit coverage
- HIPAA compliance
- Strong organization
- Insurance verification
- Call center customer service
- Data entry
- Self motivation
Timeline
Pharmacy Prior Authorization Coordinator
Independent Health
03.2025 - Current
Medicare Sales Agent
Essential Solutions
10.2023 - 03.2025
Senior Medicare Benefit Consultant
WellCare Health Plans Inc.
07.2008 - 06.2023
Customer Service Representative
Univera Healthcare
01.1998 - 06.2008
No Degree - Legal Administrative Assistant
Bryant And Stratton College
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