Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Michele Timmons

Houston

Summary

Dynamic Medicare Sales Representative with a proven track record at eHealth, excelling in sales strategy and customer relationship management. Adept at utilizing CRM software and resolving complex customer issues, I consistently enhance client satisfaction and drive revenue growth. My strong analytical skills and effective communication foster lasting partnerships and successful outcomes. Experienced Medicare Sales Representative with a proven track record in selling Medicare plans and services. Proficient in educating clients on Medicare options, eligibility requirements, and coverage benefits. Skilled in building and maintaining strong relationships with clients, insurance brokers, and healthcare professionals.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Medicare Sales Representative /Healthcare Customer Service Representative

eHealth
Houston
07.2024 - 04.2025
  • Sold plans to Medicare and Medicaid recipients.
  • Appointed with all major carriers.
  • Developed sales strategies to target new customers and retain existing clients.
  • Performed administrative tasks such as preparing reports, managing databases and scheduling appointments.
  • Assisted customers with enrollment processes by completing paperwork, submitting applications and collecting payments.
  • Conducted initial customer screenings to determine eligibility for Medicare health plans.
  • Developed partnerships with third-party vendors who provide additional services related to Medicare plans.
  • Identified customer needs and recommended appropriate coverage options.
  • Utilized various software programs such as CRM systems to track progress of sales activities.
  • Resolved customer complaints promptly while providing excellent customer service.

Customer Service Representative

AppleOne
Houston
03.2024 - 07.2024
  • I'm placed on assignment for an energy company.
  • I help customers with their accounts.
  • I answer all questions they may have.

Benefits Verification Specialist

TalentBridge
Houston
09.2023 - 03.2024
  • I asked appropriate questions regarding patients benefits and complete data entry in Patient Plus that showed patients coverage.
  • I conducted high volume of outbound calls and processed incoming verification orders with accuracy.
  • Made calls to insurance companies to verify for medication payment for specific medication.
  • I had to updated Patient Plus system in great detail after each call.
  • We also used DRG from time to time.
  • Preformed faxing data entry and data entry.

Claims Manager (Remote)

Apex Systems
Houston
10.2022 - 08.2023
  • Company Overview: Contract
  • This position required me to be very detail-oriented with close attention to program compliance requirements, record keeping guidelines, and file closeout expectations.
  • I had to have the ability to use analytical skills to interpret and evaluate information.
  • I have knowledge of the DRG.
  • We used this system very often and consistent.
  • I started off as a Case manager then I was promoted to the Appeals team.
  • This was a timely completion on every case along with outreaches done daily.
  • I determined if documents on every case were authentic and had to calculate each cases pay out or recaptures.
  • 40 cases a week deadline.
  • Kept up with daily number and if case was irregular we followed policy protocol.
  • Contract

Hr CRC Specialist (Remote)

Apex Systems
Houston
01.2022 - 10.2022
  • Support the rollout of HR Cases and other technological tools designed to empower and enable the quick resolution of associate needs.
  • Review, manage, and respond to case/task workload in Panorama, the HR case management system.
  • Coordinate the review and resolution of attendance-related matters for the site, including roster review.
  • Review, manage, and respond to trouble tickets in the site's queue.
  • Supported and execute site communication tools in partnership with the site GMA.
  • Provide customer service to associates as needed.
  • Ensure data integrity in HRIS (Peoplesoft) systems.
  • Created cases for LOA and managed them until the employee was ready to return to work.

Benefits Counselor (Remote)

Loop Recruiting
Houston
07.2021 - 12.2021
  • I managed the employee benefits program for several company and organizations.
  • As a benefits counselor, my job duties included designing and administering the program to ensure employee and company needs are met, as well as educating and assisting employees in benefits enrollment activities.
  • I also was involved in the benefits verification task for the drug Eylea and Eyea HD.

Independent Contractor Driver

Metro Lift/Yellow Cab
Houston
10.2019 - 06.2021
  • I follow a manifest that consists of 12hr a day 4 days a week for my contracted route with constant communication with dispatch.
  • I am expected to be mannerly and courteous in all driving and non-driving situations while on the job, always acting professional and friendly to passengers.
  • Required to be on time for all pickups and drops.
  • I am responsible for operating a vehicle and safely driving passengers to and from their destinations.
  • Subject to cleaning the vehicle daily and reporting all mechanical problems.
  • Always present a professional demeanor.
  • Complete all duties with discretion and confidentiality and treat each passenger with respect and professionalism.

Remote - Fraud Analyst II

Jack Henry & Associates INC.
Houston
06.2017 - 12.2019
  • Responsible for fraud protection for all financial institutions including Credit unions using Falcon and CCS.
  • I helped JHA Fraud Center support SMS Guardian, lost or stolen card reports, card activation, transaction support, as well as fraud support and advice to cardholders and financial institutions.
  • As a Fraud Analyst, I monitored and analyzed customer account transactions to detect suspicious activity and protect customer accounts and Debit, Credit and ATM cards.
  • WE worked in an inbound call center and remotely from home and we field calls for things such as fraud calls, lost or stolen cards, or transaction assistance.
  • The calls will primarily be from individual cardholders but could also be from financial institution representatives as well.
  • This is a fast-paced position that requires you to be able to multitask and move from one call to another quickly, keeping in mind of policies and procedures.
  • Monitored Skype and emails as well as emails all day.
  • I took corrective action in the event of fraudulent activity.
  • Answers inbound calls for fraudulent /suspicious transaction questions.
  • Assisted cardholders/financial institutions with lost or stolen card reports as well as card activation requests.
  • Responsible for carrying all equipment with you, home or to the call center on a daily basis and maintained a Code of Conduct on all JHA policies and to conduct my daily responsibilities.

Customer Service Representative

A1 Personnel
Houston
09.2016 - 06.2017
  • Manage heavy call volume for customers to handle EZ Tag accounts and Violation Enforcement tolls.
  • Address and maintain EZ Tag accounts.
  • Received payments for violation along with adding money, clearing violation, providing adjustments and waiver.
  • Generated receipts and addressed customers concern and complaints.
  • Updated inquiries regarding EZ Tag Accounts and missed tolls.
  • Performed and enforced, as well as educated customers on all HCTRA policies and procedures.

FHA Insuring Specialist

Stewart Lending Services
Houston
02.2015 - 10.2015
  • Reviewed and identified documents required to submit a loan for endorsement.
  • Used Document Post Closing and insuring Tracking system to accurately reflect loan status.
  • Kept current with government regulations and client's requirements, as well preformed Online functions via FHA connections.

Education

High school diploma -

Cleveland Heights High School
Cleveland, OH
12.1985

Skills

  • VPN
  • ADP
  • EDI
  • Process improvement
  • Computer Networking
  • Banking
  • Marketing
  • Medical coding
  • Analytics
  • Kronos
  • NCQA standards
  • Workday
  • Medical collection
  • Quality control
  • Bookkeeping
  • Medical office experience
  • Salesforce
  • Data analytics
  • Call center management
  • Team management
  • HIPAA
  • Phone etiquette
  • Property management
  • Real estate law
  • Payroll
  • Accounts receivable
  • Documentation review
  • HRIS
  • Multi-line phone systems
  • Office management
  • Software troubleshooting
  • Medical records
  • SharePoint
  • Fair Housing regulations
  • Schedule management
  • Windows
  • Microsoft Access
  • Customer relationship management
  • Insurance verification
  • Interviewing
  • Personal injury law
  • Strategic planning
  • Proofreading
  • Computer networking
  • Citrix
  • Time management
  • Sales
  • Medical billing
  • Presentation skills
  • Zendesk
  • 10 key typing
  • Medicare
  • Microsoft Word
  • Microsoft Powerpoint
  • Medical terminology
  • Data management
  • Microsoft Excel
  • Clerical experience
  • Google Docs
  • Human resources
  • Employment & labor law
  • Computer skills
  • Customer support
  • Customer service
  • Conflict management
  • Negotiation
  • Analysis skills
  • Hospital experience
  • Google Suite
  • Call center
  • Benefits administration
  • Research
  • QuickBooks
  • Leadership
  • Intake
  • Accounts payable
  • Accounting
  • Social media management
  • Writing skills
  • Communication skills
  • Management
  • Sales administration
  • Paylocity
  • SAP
  • CRM software
  • Yardi
  • Help desk
  • Mortgage servicing
  • Senior care
  • Accounting software
  • Organizational skills
  • Account management
  • Relationship management
  • Qualitative research interviewing
  • Microsoft Office
  • Help Desk
  • Recruiting
  • Project management
  • Administrative experience
  • Financial management
  • Adobe Acrobat
  • Front desk
  • Mentoring
  • English
  • Debits & credits
  • Loan origination
  • Property leasing
  • EMR systems
  • NetSuite
  • Data collection
  • Typing
  • Case management
  • Filing
  • Epic
  • Contracts
  • Supervising experience
  • Employee Orientation
  • Litigation
  • Revenue cycle management
  • ICD-10
  • E-commerce
  • Microsoft Outlook
  • Logistics
  • Dermatology
  • UCC law
  • Credit analysis
  • Data entry
  • Medicare compliance
  • Sales strategy
  • Insurance enrollment
  • Data analysis
  • Problem solving
  • Effective communication

Certification

  • Life Insurance License
  • Health Insurance License

Timeline

Medicare Sales Representative /Healthcare Customer Service Representative

eHealth
07.2024 - 04.2025

Customer Service Representative

AppleOne
03.2024 - 07.2024

Benefits Verification Specialist

TalentBridge
09.2023 - 03.2024

Claims Manager (Remote)

Apex Systems
10.2022 - 08.2023

Hr CRC Specialist (Remote)

Apex Systems
01.2022 - 10.2022

Benefits Counselor (Remote)

Loop Recruiting
07.2021 - 12.2021

Independent Contractor Driver

Metro Lift/Yellow Cab
10.2019 - 06.2021

Remote - Fraud Analyst II

Jack Henry & Associates INC.
06.2017 - 12.2019

Customer Service Representative

A1 Personnel
09.2016 - 06.2017

FHA Insuring Specialist

Stewart Lending Services
02.2015 - 10.2015

High school diploma -

Cleveland Heights High School
Michele Timmons