Milov Jones
Tampa,FL
Summary
Diligent Desired Position with strong background in coordinating member engagement. Successfully facilitated numerous member events and initiatives, enhancing member satisfaction and retention. Demonstrated effective communication and organizational skills.
Overview
6
6
years of professional experience
Work History
Coordinator of Member Engagement
BeneLynk
09.2024 - Current
- Completed Inbound and Outbound calls to members of United Healthcare. Aetna, Allina Health, Blue Cross Blue Shield. Network Health and People's Health to assist with social services and their upcoming recertification process
- Educated members on state and community programs available to assist members with their day-to-day living. enhancing their quality of life and overall member satisfaction
- Conducted eligibility screenings to determine member's eligibility for The Medicare Savings Program and Medicaid
- Implemented initiatives to improve member engagement by fostering a supportive environment for all members
- Exceeded quality standards by ensuring proper phone etiquette and adherence to scripts. provided accurate and detailed case documentation
- Met performance goals relating to working rate, unavailable time, telephone availability and schedule adherence
- Coordinated member outreach initiatives to enhance engagement and retention strategies.
- Developed and maintained communication channels for effective member interaction and feedback collection.
Retention Customer Service Representative
Spectrum
Riverview, FL
04.2023 - 07.2024
- Collaborated with the sales team to maintain inventory accuracy, ensure order completion, and address product concerns
- Contributed to organizational leadership through cross-training and backup support. enhancing overall team resilience
- Developed strategies that boosted customer retention and augmented customer lifetime value, provided live chat support to optimize service delivery
Claims Customer Service Associate
Maximus
Remote
04.2021 - 02.2023
- Assisted customers in resolving claims inquiries and issues efficiently.
- Processed claim submissions using proprietary software to ensure accuracy and compliance.
- Collaborated with team members to enhance customer service protocols and response times.
- Maintained up-to-date knowledge of claims policies and procedures to provide accurate information.
Healthcare Customer Service Representative
Maximus
Remote
10.2020 - 04.2021
- Delivered accurate information to customers regarding healthcare services and benefits.
- Assisted clients in navigating healthcare systems, enhancing customer satisfaction.
- Directed management of inbound calls to enhance customer satisfaction through prompt inquiry resolution.
- Documented customer interactions using CRM software to ensure service continuity.
- Documented patient insurance information and demographic data while ensuring service provider eligibility and compliance.
- Developed strong relationships with clients by providing empathetic support and understanding during challenging health situations.
Education
Associate of Science -
Ultimate Medical Academy
Clearwater, FL06.2026
Skills
- Customer Service & Member Engagement
- Microsoft Office Suite
- Data Entry & Documentation
- Medical Terminology
- Anatomy & Physiology Knowledge
- Vital Signs Measurement
- Hand Hygiene & Infection Control
- Wound Care Preparation
- Medical Records Management
- Insurance Claims Processing
- Verbal & Written Communication
- Critical Thinking & Problem Solving
- Time Management
- Teamwork & Collaboration
- Adaptability
Timeline
Coordinator of Member Engagement
BeneLynk
09.2024 - Current
Retention Customer Service Representative
Spectrum
04.2023 - 07.2024
Claims Customer Service Associate
Maximus
04.2021 - 02.2023
Healthcare Customer Service Representative
Maximus
10.2020 - 04.2021
Associate of Science -
Ultimate Medical Academy