Jailyn Castille

• Process referrals received from providers and specialists offices
• verify insurance information and complete insurance eligibility requirements
• Make outbound calls to patients for referral updates or to obtain missing insurance information
• Answer inbound calls from Providers and Patients
• Train and supervise new intake staff to deliver high-quality client care.
• Complete intake assessment forms and file patients charts.
• Technical support for Sleep Study devices and app program utilized to obtain patient Sleep Study data
• Obtain co-payments/deductibles from patients
• Facilitate communication between clients and other service providers.
• Communicate with referral sources, physicians, and associated staff to check documentation for proper signatures.
• Enhanced office productivity by handling high volume of callers per day.
• Offer compassionate and attentive guidance to patients during crisis situations.
• Answer phone calls and provided new clients with required paperwork to initiate service.

• Developed and implemented strategic initiatives to improve customer satisfaction metrics.
• Expanded customer base through cold calling, networking, and relationship building.
• Achieved top performer status consistently through dedication to meeting goals and exceeding expectations.
• Generated additional sales opportunities with upselling and cross-selling techniques.
• Enhanced client satisfaction by addressing concerns promptly and providing exceptional service
• Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.
• Utilized critical thinking skills to analyze complex client situations and make informed recommendations for appropriate services and support.

• greet all members and make them feel welcomed
• reassure members and walk them through the steps that I am taking to resolve their concerns
• assist with helping members make payments and breaking down the payments so that they have a better understanding
• prior authorizations, appeals, expedited appeals, coverage determinations, transitional refills, administrative overrides, vacation overrides, tier exceptions, MIODS, and all other medical claims as well as pharmacy claims
• calling provider offices, hospitals, urgent care clinics, specialist, and pharmacies to review claims and go over billing inquiries
• Assist future members who are eligible for Medicare find a Medicare plan that meets their needs and aiding them with the enrollment process
• Present, promote, and sell plans using solid arguments to existing and prospective customers

-prepare food for the day and that included;

• Making sure the food is dated correctly so that it's fresh for members to eat.
• Properly measured all ingredients to make sure the food is made correctly.
• Time management- made sure that all food that was put out to be served was disposed after set time.
• Take members orders using a cash register, and accept cash or card payments
• Make sure that the environment is well clean and sanitized by cleaning through out my whole shift.
• Inventory- counting all food, and condiments
• Customer service-ensuring all customers are well taken cared of in a timely manner and satisfied.
• Showing compassion to all members, being an active listener, and showing integrity.
• Front desk/member support- working behind a desk assisting members with getting their membership started, refunds, and returns.
• Concierge- personal shopping for the elder or disabled. This help build connections with our members, and allowed my customer service skills to expand even more.
• Greeting customers at the main entrance door to ensure a positive environment, and making sure everyone has a membership card to shop.
• Pricing analyst- helped determine what prices to set and whether current rates need adjustment.

• Provides a positive customer experience with a fair, friendly, and courteous service.
• Resolves customers concerns and questions
• Help customers locate items and provide advice or recommendations
• Learned over 300 produce codes in 30 days to successfully apply the correct fruit/vegetables codes into the register.
• Discount purchases by redeeming coupons
• Collects payments by accepting cash, cards, or checks.
• Verifies identification for legal purchases
• Maintains checkout operations by following policies and procedures
• Have basic math skills
• Stocked front end items such as tobacco, candy, gum, sodas, and newspaper.
• Maintain a clean and tidy checkout area
• Handles merchandise, returns, and exchanges.
• Bagged customers groceries to ensure safe transport