Jessica Crescini
Elizabeth City,NC
Summary
Dedicated professional with a strong background in Medicare enrollment and compliance. Known for exceptional problem-solving abilities and meticulous attention to detail, ready to drive improvements and support organizational goals.
Overview
17
17
years of professional experience
Work History
Medicare Enrollment Specialist
Sentara Healthcare
Virginia Beach, VA
01.2014 - 01.2026
- Facilitated Medicare enrollment processes, ensuring compliance with regulatory guidelines.
- Assisted beneficiaries in understanding plan options and benefits to enhance decision-making.
- Coordinated outreach efforts to educate communities on Medicare services and enrollment deadlines.
- Implemented process improvements to streamline application handling and reduce turnaround time.
- Trained new staff on enrollment procedures and customer service best practices for efficiency.
- Analyzed enrollment data to identify errors and ensure beneficiaries showed enrolled under correct plans.
- Conducted regular audits to maintain strict adherence to regulatory guidelines, mitigating risk for non-compliance penalties.
- Handled escalated member cases with professionalism, working diligently towards a satisfactory resolution.
- Maintained a high level of accuracy by conducting thorough reviews of enrollment applications, ensuring compliance with CMS regulations.
- Delivered prompt resolution for member inquiries regarding their Medicare enrollment status, providing clear and concise information.
- Streamlined the Medicare enrollment process by effectively managing and organizing application documentation.
- Identified potential areas for improvement in the enrollment process, implementing changes that increased overall efficiency.
- Developed comprehensive training materials to educate new hires on proper procedures for handling Medicare enrollments efficiently and accurately.
- Increased team productivity through effective workload delegation among team members according to individual strengths and skillsets.
- Participated in ongoing education and training sessions to remain updated on changes in Medicare regulations and policies.
- Managed a high volume of applications while maintaining attention to detail and adhering to tight deadlines.
- Ensured timely completion of daily tasks by setting priorities based on urgency levels.
Individual Product
Sentara Healthcare
Virginia Beach, VA
03.2010 - 01.2014
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Paid attention to detail while completing assignments.
Small Group Account Specialist
Sentara Healthcare
Virginia Beach, VA
12.2008 - 03.2010
- Managed employer accounts, ensuring timely processing and accuracy of billing information.
- Streamlined communication between departments to facilitate quicker resolution of patient inquiries and issues.
- Achieved high levels of client satisfaction through timely resolution of billing disputes or other account-related concerns.
- Managed multiple accounts simultaneously, demonstrating exceptional organizational skills and attention to detail.
- Collaborated with healthcare providers to resolve account discrepancies and improve patient satisfaction.
- Analyzed account trends to identify areas for process improvement and enhance operational efficiency.
- Led training sessions for new staff on account management systems and best practices in customer service.
Education
Bachelor of Science - Business Administration
Southern New Hampshire University
Hooksett, NH01-2023
Skills
- Organization
- Documentation
- Healthcare industry
- Negotiation
- Medicare
- Enrollment processing
- Eligibility determination
- Attention to detail
- Problem-solving abilities
- Multitasking
- Application review
Timeline
Medicare Enrollment Specialist
Sentara Healthcare
01.2014 - 01.2026
Individual Product
Sentara Healthcare
03.2010 - 01.2014
Small Group Account Specialist
Sentara Healthcare
12.2008 - 03.2010
Bachelor of Science - Business Administration
Southern New Hampshire University