ReShae Ellzey

Work History

Broadpath, LLC

06.2021 - 03.2025

Conducted 50–75 outbound calls daily to engage Tier 5 CMS members (Unable to Reach population), achieving consistent enrollment targets into care management programs.
Managed caseloads of 300+ members monthly, maintaining outreach to 100–120 new members with strict deadlines and quality audit compliance.
Achieved minimum 20% enrollment rate of assigned members into case management through persistent outreach, needs assessment, and healthcare coordination.
Completed full outreach cycle (three documented contact attempts) per member, escalating cases to primary care providers to verify member information when necessary.
Proactively researched member data, connected with healthcare providers, and updated contact records to ensure accurate outreach and maximize monthly enrollment.

Savilinx, LLC

11.2016 - 06.2021

Processed insurance claims, verifying patient information and ensuring claims were filed correctly with insurance providers.
Worked closely with patients to clarify billing details and resolve discrepancies in insurance claims.
Analyzed insurance policies and provided clear explanations to patients about their coverage, co-pays, and deductibles.
Assisted in resolving outstanding patient balances by coordinating with patients, providers, and insurance companies.
Handled inbound and outbound calls, resolving inquiries regarding insurance benefits, claims statuses, and payment procedures.
Utilized billing software (e.g., Epic, Cerner) to maintain accurate billing records and track claim statuses.

Walmart.com

01.2013 - 10.2016

Provided high-level customer service by handling inbound calls, addressing patient inquiries, and resolving concerns regarding healthcare billing and insurance coverage.
Managed and maintained patient accounts, ensuring the accuracy of insurance details, contact information, and billing records.
Provided support and guidance to patients through the claims process, ensuring they understood their benefits and financial responsibilities.
Collaborated with billing teams and healthcare providers to resolve complex customer issues.
Met and exceeded department goals for customer satisfaction, call resolution time, and quality assurance.