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
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
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
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