Dedicated customer service professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
8
8
years of professional experience
Work History
Member Experience Supervisor
Vitori Health
08.2021 - Current
Effectively managed team of 10 remote agents, overseeing all work assignments to ensure a smooth operation of the department.
Streamlined processes to effectively address and resolves issues which helped to increase customer satisfaction ratings by 40%.
Engaged in cross functional collaboration with internal team members across various departments to provide exceptional customer service.
Conducted regular assessments of employee performance, providing coaching and feedback for ongoing development.
Director of CDPAP
Ultimate Care
11.2018 - 07.2021
Supervised team of 10 intake coordinators and contributed to the development of departmental workflows.
Monitored call queues, generate relevant reports, and analyze call center performance metrics specifically focusing on adherence, After Call Work (ACW), and Average Handle Time (AHT).
Recognized potential areas for process enhancement to expand the capabilities of the CDPAP/Intake Department which helped to achieve a substantial increase in the department census by 300 members in 30 days.
Actively engaged in Medicaid Managed Long Term Care Plan audits consistently demonstrating exceptional performance by attaining a flawless score of 100% in all audits.
Senior Intake Specialist
FreedomCare
07.2016 - 11.2018
Collaborated with patients and providers to acquire DOH/M11Q forms and provide assistance to new patients in obtaining medicaid coverage.
Maintained regular communication with prospective patients and contract partners to ensure a seamless intake and enrollment process.
Surpassed the monthly target of 25 enrollments by consistently averaging 45-50 member enrollments on a monthly basis.
Networked among local business and community organizations to develop leads and generate business.
Maintained extensive knowledge of company products and services to provide top-notch expertise to customers.
Front Desk Manager
Lancaster General Urgent Care
10.2015 - 07.2016
Provided supervision, training, and performance evaluations for 8 team members while also offering assistance in evaluating the performance of clinical staff.
Collaborated with physician, administrative, and clinical staff to ensure seamless and efficient office operations that prioritize exceptional patient care and service.
Responsible for managing the daily reconciliation of drug inventory ensuring proper storage and adherence to regulatory guidelines within the healthcare facility.
Maintained working knowledge of appropriate aspects of insurance plans and billing regulations.
Education
Associate of Arts - Medical Billing And Coding
Borough of Manhattan Community College of The City University of New York
New York, NY
05.2024
Skills
Process Updates
Key Performance Indicators (KPIs)
Escalation Management
Healthcare Platforms
Bilingual (Spanish)
Timeline
Member Experience Supervisor
Vitori Health
08.2021 - Current
Director of CDPAP
Ultimate Care
11.2018 - 07.2021
Senior Intake Specialist
FreedomCare
07.2016 - 11.2018
Front Desk Manager
Lancaster General Urgent Care
10.2015 - 07.2016
Associate of Arts - Medical Billing And Coding
Borough of Manhattan Community College of The City University of New York
NA at Fundamentals of Nursing Advent Health, Advent Health, Mental Health. Advent HealthNA at Fundamentals of Nursing Advent Health, Advent Health, Mental Health. Advent Health
Family Nurse Practitioner at Novant Health-Employee Occupational Health and Corporate Health SolutionsFamily Nurse Practitioner at Novant Health-Employee Occupational Health and Corporate Health Solutions
Remote Area Nurse (N3-N4) at Northern Territory Department of Health: Milikapiti Health Centre and Jabiru Health CentreRemote Area Nurse (N3-N4) at Northern Territory Department of Health: Milikapiti Health Centre and Jabiru Health Centre