Accountable Insurance Representative with excellent client management and insurance plan promotion. Highly effective juggler of multiple competing responsibilities simultaneously. Proven history of exceptional time management and customer service.
Overview
5
5
years of professional experience
Work History
COVID-19 Response Frontline Case Investigator
PCG
Buffalo, New York
11.2020 - Current
Communicated with documented COVID-19 patients and other exposed persons via phone call, text, e-mail and other platforms.
Investigated and identified confirmed and suspected coronavirus cases, also documenting potentially affected contacts.
Reached out to people newly diagnosed with COVID-19 to determine contact histories and potential exposures.
Offered basic guidance regarding testing and medical consultation for those exposed to people with COVID-19.
Contacted people exposed to individuals with COVID-19, assessed symptoms and referred for testing.
Provided educational and informational resources regarding isolation policies and quarantine measures.
Performed record keeping by logging client information within secure contact-tracing software.
Outreach and Enrollment Coordinator
Fallon Health Weinberg
Buffalo, New York
06.2020 - 06.2021
In consultation with Program Director, sets referral and enrollment targets and meets them.
Arranges and carries out individual and group presentations to Fallon Health Weinberg staff, community groups, and agencies.
Maintains consistent contact with referral sources.
Researches community outreach activities appropriate to Fallon Health Weinberg market.
Participates in quality improvement activities related to referral and enrollment processes as necessary.
Work with referral to determine areas preventing enrollment and resolve.
Build relationships with appropriate partners at local Senior Centers, Housing authorities, offices of aging, home care companies, community organizations and other resources. Drop by regularly to ensure all marketing materials are available and promote referrals and lead generation.
Enrollment Field Coordinator
Centers Plan
Staten Island, NY
07.2018 - 05.2020
Followed up on referrals for participant-directed services.
Supported individuals and their provider(s) in completing all necessary documentation required for enrollment.
Obtained and maintained recertification and reauthorization correspondence for continuation of MLTC and CDPAP services.
Documented and reported evidence of individual's inability to self-direct to Account Management.
Coordinated and scheduled home visits to complete intake forms for potential consumers for MLTC plan and CDPAS programs.
Identified when CDPAS prospects have completed processing, and submit authorizations to Utilization Management.
·
Advocacy & Outreach Coordinator
WNYIL, Inc.
Buffalo, NY
11.2016 - 11.2017
Coordinated and implemented goals and objectives as it relates to the ICAN Ombudsman Program that relate to outreach and community awareness efforts to targeted population of people with disabilities.
Responsible for coordination and implementation of community outreach events of ICAN.
Developed, coordinated and conducted community outreach and provided in-services and presentations to area organizations, clubs, schools and other community programs.
Conducted Trainings and Presentations within the agency and outside organizations of ICAN program and how to refer to ICAN program.
Education
License - Life, Health & Annuity
Florida Insurance College
DeLand, FL
Certification - Medical Assistance
EOC - University of Buffalo
Buffalo, NY
06.2015
Skills
Supervisory experience
Community-based resources
Public outreach
Dependable and Responsible
Verbal and Written Communication
Time Management
Understanding of medical terms
Claims review
Over 10 years of customer service experience
Medical Claims processing experience
10 years of Medical Insurance Experience in multiple roles
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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