Kaisha Rao
St. Petersburg
Summary
Dynamic Outreach Care Specialist II at Anthem Inc. with expertise in behavioral health support and crisis intervention. Proven ability to enhance member engagement through effective communication and case management. Skilled in collaborating with multidisciplinary teams to ensure comprehensive care and support for individuals facing mental health challenges. Fluent in Spanish, fostering inclusivity and understanding.
Overview
20
20
years of professional experience
Work History
Outreach Care Specialist II
Anthem Inc.
Wallingford
04.2016 - Current
- Follow up with members who have recently discharged and offer resources and Behavioral Health Case Management
- Assist members with Eating Disorders through Behavioral Health Case Management Program
- Create Self Referrals for members in need of mental health support
- Assist with aftercare if none identified in discharge summary
Sales Support Specialist
Anthem Inc.
Wallingford
10.2013 - Current
- Process incoming proposals from prospective groups for sales
- Assist brokers with required paperwork to process proposals
- Assist sales reps with sold paperwork
- Attend open enrollment meetings and assist bilingual employees with benefit summaries
Account Service Specialist
Anthem Blue Cross Blue Shield
North Haven
03.2010 - 10.2013
- Assist brokers & group administrators with escalated issues
- Assist Account Representatives with enrollment meetings
- Enter new membership information into system
- Data error correction
- Research claim issues and benefit issues
- Explain group policies
- Research any and all incoming emails, faxes or mail
- Internal research for our sales area on benefits for potential new business
Customer Service Representative
Anthem Blue Cross Blue Shield
North Haven
10.2008 - 03.2010
- Team member
- Assist associates with inquiries on benefits, claims and membership/billing issues
- Arrange for bilingual interpreter when requested
- Monitor department and individual performance to attain goals
Collections Representative
United Illuminating
New Haven
06.2006 - 03.2008
- Handle billing inquiries
- Assist with placing customers in need on payment plans
- Explain and mail program info such as MAPP and winter protection information
- Applied payment information to account to avoid disconnections
- Customer Service
Homemaker
Lifetime Solutions
Branford
02.2005 - 06.2006
- Assist elderly with day to day living
- Supervise and administer the intake of medication to patients
- Provide personal and hygienic care to patients
Education
AS - Nursing Program
Goodwin College
03.2025
High School Diploma - Medical Assistant Program
Sawyer School
Hamden, CT06.2009
Skills
- Spanish
- Behavioral health support
- Case management
- Crisis intervention
- Team collaboration
- Problem solving
- Effective communication
- Microsoft Office
References
References upon request
Timeline
Outreach Care Specialist II
Anthem Inc.
04.2016 - Current
Sales Support Specialist
Anthem Inc.
10.2013 - Current
Account Service Specialist
Anthem Blue Cross Blue Shield
03.2010 - 10.2013
Customer Service Representative
Anthem Blue Cross Blue Shield
10.2008 - 03.2010
Collections Representative
United Illuminating
06.2006 - 03.2008
Homemaker
Lifetime Solutions
02.2005 - 06.2006
AS - Nursing Program
Goodwin College
High School Diploma - Medical Assistant Program
Sawyer School
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