Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
4
4
years of professional experience
Work History
Enrollment Representative I
Humana
Louisville, KY
09.2023 - 01.2024
Completed day-to-day duties accurately and efficiently.
Handled new enrollments by entering customers' data and reviewing information.
Calculated premiums and established payment methods, receiving customer payments and issuing receipts.
Key enrollment data from actual application into Humana enrollment systems (HodMod4 and Marx) Review applications to determine members eligibility using company job aides for Medicare enrollment guidelines and regulations when make decisions for Medicare application approvals for members with minimal supervision.
Medical Eligibility Specialist II
Texas Health and Human Services
Houston, TX
09.2019 - 08.2023
Adjusted to changing policies, procedures, and updates for Texas Government programs
Established databases to track, analyze and automate Nursing home and Disabled client benefits using TIER and Texas State Portal databases
Reviewed applications for different aid program eligibility and determined which qualification criteria for individuals
Proofread documents carefully to check accuracy and completeness of all paperwork.
Conducted outreach programs and promoted new programs to communities and prospective clients.
Education
High School Diploma -
Penn Foster Career School
Scranton, PA
01-2018
Some College (No Degree) - Medical Office Specialist
Texas School of Business
Houston, TX
Skills
Critical Thinking
Complaint Resolution
Attention to Detail
Computer Literacy
Medical Terminology
Technical Support
Enrollment
HIPAA Compliance
Communication
Adaptability
Time Management
Case Management
Data Entry(35wpm)
Microsoft Office Applications
Exceptional Customer Service
Scripted Responses
Solution Development
Salesforce
CRM Software
Documentation Review
Customer Billing
Insurance Claim Regulations
Insurance Coverage Verification
Timeline
Enrollment Representative I
Humana
09.2023 - 01.2024
Medical Eligibility Specialist II
Texas Health and Human Services
09.2019 - 08.2023
High School Diploma -
Penn Foster Career School
Some College (No Degree) - Medical Office Specialist