Pamela Flowers
Las Vegas,NV
Summary
Team-oriented, in a remote role. Communicate professionally via phone, email, and text to coordinate care and confirm scheduling details.
Professional service with focus on member satisfaction and seamless service delivery. Experience in addressing member needs and ensuring positive interaction experience. Known for strong collaboration skills and adaptability to changing requirements. Reliable in supporting team efforts and maintaining high service standards.
Overview
5
5
years of professional experience
Work History
Member Service Representative
Your Way Insurance
Las Vegas, NV (Remote)
05.2026 - Current
- High volumes of communication and scheduling patients visits
- Flexibility, adaptability, and collaborative spirit to be able to cross- functionally with operations, product, teams to share feedback
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Utilized customer relationship management software to track interactions and improve service efficiency
- Resolved member issues by coordinating with internal departments for timely solutions and help shape the tools and automation to help drive future scalability
- Maintained up-to-date knowledge of industry regulations and company policies to ensure compliance
- Ability to manage responsibilities efficiently while maintaining a high standard of customer service
- Proactively identify and communicate opportunities for process improvement to maximize team efficiency.
- Collaborated with team members to identify opportunities for service improvement and operational efficiency
- Adapted quickly to changes in procedures, ensuring consistent service delivery during high demand periods
Medicare Enrollment Specialist
Your Way Insurance
Las Vegas NV (Remote)
08.2025 - 04.2026
- Assisted clients with Medicare enrollment processes, ensuring accurate completion of applications.
- Educated beneficiaries on Medicare options and coverage details to facilitate informed decision-making.
- Coordinated documentation and submitted enrollment forms to maintain compliance with federal regulations.
- Responded to client inquiries regarding eligibility, benefits, and enrollment timelines efficiently.
- Tracked application statuses and followed up with clients to ensure timely processing of enrollments.
- Utilized CRM software to document interactions and manage client relationships effectively.
- Participated in training sessions to enhance knowledge of Medicare policies and industry changes.
- Handled escalated member cases with professionalism, working diligently towards a satisfactory resolution.
- Managed a high volume of applications while maintaining attention to detail and adhering to tight deadlines.
- Ensured timely completion of daily tasks by setting priorities based on urgency levels.
- Collaborated with cross-functional teams to ensure smooth communication and efficient workflow in the enrollment process.
Medicare Enrollment Specialist
Go Health
Las Vegas, NV (Remote)
06.2021 - 02.2025
- Flexible, Leaner Mindset,Thrive in Urgency to have the ability to complete applications and paperwork quickly and efficiently.
- Participated in ongoing education and training sessions to remain updated on changes in Medicare regulations and policies.
- Supported team members in achieving departmental goals by sharing knowledge and expertise on best practices
- Strong sense of accountability and integrity for internal/external team members reliability.
- Maintained a high level of accuracy by conducting thorough reviews of enrollment applications, ensuring compliance with CMS regulations.
- Interviewed applicants and explained scope of different available benefits.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Scheduled appointments with applicants to gather information and explain benefits processes.
Education
High School Diploma -
A.A Stagg High
StocktonSkills
- Customer service
- Relationship building
- Financial transactions
- Customer support
- Call center experience
- Transaction processing
- Account management
- Dispute resolution
- Issue resolution
- Escalation handling
- Product recommendations
- Complaint handling
- Client education
- Service upselling
- Database management
- Healthcare
- Teamwork and collaboration
- Calm and professional under pressure
- Computer skills
- Customer relations
- Microsoft office
- Understanding customer needs
- Professional telephone demeanor
- Data entry
- Remote office availability
Timeline
Member Service Representative
Your Way Insurance
05.2026 - Current
Medicare Enrollment Specialist
Your Way Insurance
08.2025 - 04.2026
Medicare Enrollment Specialist
Go Health
06.2021 - 02.2025
High School Diploma -
A.A Stagg High