Patricia Navarro

-Daily meet customer satisfaction by active listening to customers, providing accurate information and resolving customer issues in the less time possible

-Analyze and review customer issues in order to find the best possible solution

-Efficiently research and reach out to third parties such as hospitals, clinics and vendors in order to find the problem and resolve it

-Accurately reassign issues to the proper department for a prompt solution

-Acknowledge people on time frames for different requests

-Follow up with customers on open and pending tasks to make sure the issue has been resolved

-Efficiently manage calls by kindly and empathetically listen to customers

-Analyze claims to ensure service codes are correctly submitted

-Verify if medical procedures need authorization and explain requirements

-Assist members in finding providers and facilities

-Daily instructs customers on what to do and how to get the best outcome

-Document every single account and make reports on what is being instructed

-Support customers and route them to other departments for eligibility on federal and state assistance Conduct welcome calls in order to inform and educate members as needed

-Continuously educate customers on their plan and other products available through the company

-Properly educate members with commercial, individual and Medicare- Medicaid accounts

-Handle inbound and outbound calls to welcome members, educate them on plan and offer assistance

-Masterly skilled in over 14 systems

-Meet QA on a daily basis as well as other metrics

-Efficiently persuaded people to gather specific data

-Made accurate reports on interviews

-Helped improve the quality of the calls and met everyday goals

-Assisted with operations and training process