Job Search Status
Open to workDesired start date: 2 weeks notice
Open To Work
Laporche Green
Houston,TX
Work Preference
Summary
Detail-oriented professional with over 9 years of experience in data entry and insurance verification. Expertise in maintaining electronic records with precision and compliance. Proven ability to manage high-volume data efficiently while demonstrating strong organizational and multitasking skills.
Overview
9
9
years of professional experience
Work History
Senior Customer Service & Enrollment Specialist
Access Health Insurance
Houston, Texas
03.2022 - Current
- Served as primary contact for Medicare Advantage and marketplace plan members, ensuring prompt and accurate assistance.
- Guided members through enrollment lifecycle, verifying documentation and benefit selections.
- Resolved complex member issues and billing concerns with timely follow-up.
- Collaborated with case managers and providers to ensure seamless onboarding.
- Trained and mentored new hires, providing shadowing opportunities and feedback.
- Explained plan options, co-pays, deductibles, and provider networks effectively.
- Managed over 80 inbound and outbound calls daily during peak enrollment periods, effectively addressing member inquiries and enhancing customer satisfaction.
- Ensured compliance with healthcare regulations by maintaining accurate records in CRM systems, contributing to operational integrity.
Administrative Assistant
Reliable Staffing
Houston, Texas
08.2019 - 2022
- Coordinated referrals and scheduled specialist appointments, enhancing patient access to necessary care.
- Verified insurance coverage and updated patient information in electronic medical record system, ensuring HIPAA compliance.
- Managed multi-line phone inquiries while providing accurate, compassionate assistance to patients, providers, and payers.
- Maintained organized filing systems, improving document retrieval for staff and patient interactions.
- Facilitated onboarding processes for new employees, creating training materials to streamline integration.
Customer Service Specialist
Optum
, TX
05.2017 - 2019
- Delivered exceptional customer service by addressing client inquiries and resolving issues promptly.
- Verified insurance coverage eligibility through communication with carriers, ensuring accurate patient support.
- Documented customer interactions in CRM, ensuring precise record-keeping.
- Managed scheduling and cancellations of appointments in electronic health record systems, maintaining accurate patient records.
- Reviewed prescription benefit requests from medical providers, pharmacists, and members for compliance.
Education
Bachelor of Science - Business Administration And Management
Houston Community College
Houston, TX01-2027
High School Diploma -
Barbara Jordan HS
Houston, TXSkills
- Customer service
- CRM management
- Insurance Benefit Verification
- Claims Processing Support
- Remote call center operations
- Data analysis
- Microsoft Office suite
- Typing Speed: 60 WPM
- Team collaboration
- Conflict resolution
Timeline
Senior Customer Service & Enrollment Specialist
Access Health Insurance
03.2022 - Current
Administrative Assistant
Reliable Staffing
08.2019 - 2022
Customer Service Specialist
Optum
05.2017 - 2019
Bachelor of Science - Business Administration And Management
Houston Community College
High School Diploma -
Barbara Jordan HS