Osadchi Cristobal

• Managed Medicaid/Medicare applications for successful completion, ensuring deadlines were met and adhering to proper client follow-up.
• Entered data, generated reports, and produced tracking documents from sources for pending notices.
• Third-party communication through phone, email, and fax for proper verification of documents as required per Medicaid/Medicare.
• Contact clients regarding pending notice status to convert cases into approval following state guidelines.
• Enhanced customer satisfaction by responding promptly to inquiries and notifications of cases denial/approval.

• Contact health plan members, conduct in-depth telephone interviews, and assist with the application process for the Medicare Savings Program and Medicaid.

• Perform weekly follow-up to ensure that necessary documentation has been collected to complete applications.

• Utilize proprietary system to access alerts, obtain missing documents, and complete applications.

• Review and prepare applications for submission to state Medicaid agencies.

• Track daily and monthly production goals as well as members’ application status.

• Meet and exceed quality standards and daily, weekly, and monthly production goals.

• Adhere to company policies and procedures to ensure compliance with federal and state laws, regulatory requirements, and CMS guidelines.