Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
8
8
years of professional experience
Work History
Advocate4me Representative
United Healthcare Group
02.2016 - Current
Assisted customer with any issues from billing, to looking up claims, finding a Doctor office or facility, look up prescriptions, helping scheduling appointments
Enhanced company reputation by providing exceptional customer service and support.
Increased customer satisfaction by addressing and resolving complaints in a timely manner.
Responsible for utilizing multiple systems such as GPS, RPA, MARX, Enrollment Processing Instructions, MAESTRO, and VIEW to locate missing information to correct pending applications for individual and Group plans electronically
Handles Inbound and Outbound calls from/ to Group Retirees to answer questions they may have
regarding their health plan, claims and benefits.
Abilities to master New Member Just Checking In And Just Checking In. With the attempts To educated new members on what to expect out of their New Plan.
Contact prospective enrollees to obtain necessary information to proceed with updating, submitting and processing plan applications for individual and group plans.
Research multiple systems to determine eligibility for enrollment into Medicare/ Medicaid plans
Ability to handle many countless campaigns such as: ID Card, P.C.P. Verification, And Pharmacy Saver
Evaluated staff performance and provided coaching to address inefficiencies.
Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
Education
Medical Coding & Billing
National College
01.2011
William Fleming High School
01.1991
Skills
Proficient in Microsoft Office, Excel, Word, PowerPoint
Knowledgeable with systems used by Outbound/Inbound/Enrollment
Familiar with medical terminology, coding and billing
Technical aptitude to quickly learn new skills and technologies
Excellent communication and presentation skills
Knowledge and abilities of being professional with High Priority clients
Proven leadership ability with excellent interpersonal and team building skills
Exceptional problem solver, driven to succeed with strong interpersonal and negotiation skills