Knowledgeable and dedicated customer service professional with extensive experience in the Medical industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Dependable accounting professional acknowledged for reliability, integrity and quick-learning ability. Highly skilled, with eye for identifying and correcting errors. Dedicated with strong work ethic and resourceful nature. Detail-oriented Accounting Assistant. Skilled in account reconciliation, report drafting and collections. Industrious and meticulous with strong history of integrity and reliability.
Inbound/Outbound calls 80+
Bilingual Spanish/English
In charge of several test pilot programs
Train new hires
Eligibility, benefits, referrals and authorizations
Issues and resolution
Provide backup support to as necessary accounts, prenatal, foster kids, elderly members.
Scheduled members with specialist
Responsible for inputting and locating participant information in member management system.
Contact participants for scheduling and enrollment information, follow up appointments through HEDIS.
Complete Initial Health Assessments for various health issues, Asthma, Diabetes, Hypertension, Heart Disease, weight loss programs for adults and children.
Performs Data Entry, resolve incomplete or incorrect data.
Verified eligibility of candidates, enroll candidates in lifestyle programs.
Input direct referral participant information to member management system.
In charge of communicating between patients, family members, care providers and other health care institutions, Nursing homes, Rehabilitation Centers.
Informing participants about the importance of a screening, and check ups
Building good communication skills with members to assess and address individual needs, providing timely and quality support.
High volume inbound calls 80+
Bilingual Spanish/English
Resolved patient questions and concerns in a timely and accurate fashion, customer satisfaction.
Handles phone inquired from patients, doctors facility teammates
Would provide services for several health plans throughout different states, for providers, colleges, universities, and military facilities.
Heavy customer service skills, Taking critical calls would involve dialing 911
Following a process, in which parents would call inquiring questions about their child being sick, obtaining information to at most accurate so when a member would be transferred the correct information would be available for the Nurse to assist the member.
Served as a third party between Nurse and Physician with ICU questions, and solutions.
Schedule appointments for patients