Patricia Vega

Attending to incoming and outbound calls from members with questions on their medical, dental benefits. Some calls are from members that want to check status on their prior authorizations that were sent by their providers, or calling with questions pertaining to medical claims status. Providing best to my ability to provide members with accurate policy information. Also take calls from stakeholders and help assist them with their questions. Assist with English/Spanish speaking members and assist with complete and total professionalism, provide empathy, compassion and provide my best customer service to our members.

Attended member calls with question that pertains to their Soonercare application for medicaid benefits. Assist in helping them apply, Assist English and Spanish speakers with question, on their documents that were mailed or uploaded and pending status to get approved. Worked on workflow processing documents that are pending approval, following policy and procedure, on timely manner. Provided, professional. empathy, and providing my best customer service skills to all members and stake holders that call our line.

Attending to potential member that were calling to apply for medical benefit, and assisted in changing and assigning providers, walked them through website, providing information about their benefits. Providing them with professional, empathy and deliver great customer service to English and Spanish speakers.