Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rousel Ballesteros

Hialeah,FL

Summary

Hardworking and passionate job seeker

Overview

12
12
years of professional experience

Work History

Eligibility Liaison

Change HealthCare, Altegra Health
424 Church St # 1400 Nashville TN 37219
05.2020 - Current
  • I follow up to my assigned states Department of Health and Human services, to inquire the status of the application.
  • Gather detailed information regarding documentation that the state is requesting. So client can show proof of their income and assets.
  • File fair hearing on cases that are not processed within the 45 days processing time frame.
  • Collected, arranged, and input information into database system.

Case Coordinator

Change HealthCare, Altegra Health
1725 N Commerce Parkway Weston, Fl 33326
06.2016 - 05.2020
  • Fill out Medicaid applications for our members.
  • Respond to in-bound, routine customer telephone inquiries regarding services, application status, and other general questions.
  • Achieve daily, weekly, and monthly quality and production goals.
  • Adhere to call quality standards by ensuring proper phone etiquette and adherence to scripts.
  • Follow up with members as assigned.
  • Review all correspondence sent by Change Healthcare with member.
  • Perform other duties as assigned.

Universal Advocate

Change HealthCare, Altegra Health
1725 N Commerce Parkway Weston, FL 33326
09.2012 - 05.2016
  • Interact with health plan members through outbound and inbound telephonic contact to review member's eligibility.
  • Achieve daily, weekly, and monthly quality and production goals.
  • Stay informed with current knowledge of state and federal regulatory requirements.

Education

High School Diploma -

Miami Dade Christian Academy
06.2007

Skills

  • Attention to detail
  • Responsibility
  • Fast learner
  • Teamwork
  • Communication

Timeline

Eligibility Liaison

Change HealthCare, Altegra Health
05.2020 - Current

Case Coordinator

Change HealthCare, Altegra Health
06.2016 - 05.2020

Universal Advocate

Change HealthCare, Altegra Health
09.2012 - 05.2016

High School Diploma -

Miami Dade Christian Academy
Rousel Ballesteros