Jerrilyn Smith

Work remotely from home,handle between 50-100 inbound calls daily, assiting member with medicaid account information, trained in the medicaid program. Pcp changes, assist with demographical changes, complys with all hippa regulator standards. Educate member with diffrent sooner select plans.

Assisted with daily living activities, running errands, and household chores.

Facilitated client transportation to appointments, ensuring punctuality while providing emotional support during visits.

Maintained strong connections within caregiver community to gain continuous knowledge.

Worked remotely from home, handled between 50-90 inbound calls daily, provided services to pharmacies, members, and dr office and internal department. Trained in Med Part D and the pharmacy formulary tool. Was the Pharmacy Benefit Manager for United Health Care. Assisted in general prior authorization information. Provided lost stolen and vacation and emergency supply override on a daily basic. Followed all Hippa and client’s guideline and procedures. Resoled issue on first call resolution. Crossed trained in home delivery and first line benefit, assisted the department with other lines of business ques when needed. Provided copay and accumulator information to members.

Contracted for the oklahoma Medicaid program. Handled between 50- 80 inbound calls from members, agency partners and providers regarding eligibility inquires. Assisted members with enrollment process, application updates and renewals. Also assisted agency partners with eligibility question and application updates. Researched cases and analyzes and resolved all callers concerns and inquiries. Assisted with workflow task, meet all deadlines and also placed outbound calls as needed to assist member providers and agency partners and providers. Crossed trained in member service department and provider relations. Complied with all HIPPA regulator standards, followed all guidelines and procedures, performed other duties as requested by supervisor.