
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
• Successfully manages inbound and outbound queue operations from members and providers regarding behavioral health services ensuring timely and accurate processing.
• Contributes to ABA assessments, supporting accurate evaluations and improving workflow efficiency.
• Continues consistent work in the BH (Behavioral Health) review bucket, ensuring timely and accurate processing.
• Maintains compliance with risk management, regulatory, and accreditation requirements.
• Delivered exceptional customer support via phone, video, and chat platforms.
• Resolved inquiries related to product setup, troubleshooting, and service options.
• Maintained high customer satisfaction scores through professional and empathetic communication.
• Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
• Reviewed income and applications to determine eligibility requirements.
• Entered enrollment data accurately into systems; finalized eligibility after verification.
• Conducted outbound calls to clarify or update member information.
• Assisted related departments with inbound call handling and enrollment processing.