RIVA SELLERS

Makes additions, and deletions based on enrollment rules. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within de+ned parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.· Reconcile and correct enrollment discrepancies for Medicare members.

Transmit changes to the Center for Medicare and Medicaid Services (CMS) so that Humana systems match.

Strong proficiency in Humana systems such as CI, CRM, EMME and MARx Experience with Microsoft Office Programs including Word and Excel

• Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
• Increased client satisfaction by building strong relationships and addressing their needs promptly.
• Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.

• Quote assigned accounts to identify outstanding debts
• Plan a course of action to recover special payments
• Locate and contact customers to inquire about their payment status
• Negotiate payoff deadlines or payment plans
• Investigate and resolve discrepancies
• Manage call volume of 200 calls per day