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Skills

  • High-volume application review experience
  • Project organization
  • Customer satisfaction improvement
  • Metric equipment
  • Communications
  • Documentation and paperwork
  • Supervision
  • Proficiency in Jira
  • Data accuracy and entry management
  • Client needs assessment and risk evaluation

Work Experiences

  • Coordinated with clients to resolve discrepancies promptly.
  • Built relationships with 17 healthcare providers.
  • Reviewed applications for various aid programs and determined which individuals met the eligibility requirements.
  • Achieved a 20% faster turnaround.
  • Used social media platforms such as system and program to promote and market services.
  • Addressed dual-eligibles inquiries.
  • Communicated with people from various cultures and backgrounds during the application process.
  • Collaborated with internal teams.
  • Sorted jobs that were relevant to candidates' interests and forwarded the information to them.
  • Created and distributed Medicare educational content that increased web inquiries regarding enrollment by 23%.

Summaries

  • Dedicated to learning, growing, and succeeding in Insurance.
  • Collaborated with insurance providers.
  • Considered a team player who excels at multitasking.
  • Collaborative Medicare professional.
  • Client-focused Enrollment Specialist.
  • Able to manage high client volumes, processing over 6 Medicare applications monthly with minimal error and timely submissions.
  • Professional who can keep accurate records, schedule appointments, and handle a variety of administrative tasks in both English and Spanish.
  • Adept at delivering Medicare informational seminars.
  • Awards-winning Medicare Enrollment Specialist with a consistent track record of excellent customer service, recognized with Innovation Award in 2018.
  • Boosted enrollment success rates.

Accomplishments

  • Resolved 17 escalated claims disputes within the past year, achieving a 65% resolution rate and minimizing customer churn.
  • Updated beneficiaries on new policy changes related to Medicare Part B, successfully boosting education program participation by 40%.
  • Analyzed monthly Medicare enrollment patterns and developed insights for finance, boosting new enrollments by 66%.
  • Implemented a Medicare-specific CRM for enrollment documentation, cutting processing time by 34% and improving data retrieval for audits.
  • Trained 10 new team members on proper Medicare enrollment procedures, shortening the learning curve and achieving 39% compliance within 18 months.
  • Collaborated in cross-functional teams to revamp the Medicare eligibility verification process, decreasing manual entry errors by 38%.
  • Reduced error rate in Medicare enrollee data processing by 42% after introducing automated validation software for routine administrative tasks.
  • Collaborated with sales teams to educate clients on Medicare Advantage options, contributing to 46% revenue growth for new enrollments in 2020.
  • Collaborated with team of 3 in the development of category.
  • Assisted in reducing Medicare enrollment time by automating budget management which improved efficiency by 52%.

Affiliations

  • National Association of Health Underwriters (NAHU)
  • Certified Health & Wellness Consultant through standard
  • Member of the Medicaid and Medicare Access Community
  • Member of the Senior Health Insurance Program (SHIP) Network
  • National Association of Social Workers
  • National Medicare Education Association
  • Freemason
  • Membership in the National Committee for Quality Assurance (NCQA)
  • Attendee of 2020 Medicare Beneficiary Advocacy Summit
  • American Academy of Professional Coders (AAPC) - Member

Certifications

  • CompTIA Network+
  • Certified Healthcare Access Manager (CHAM) by National Association of Healthcare Access Management
  • Certificate in Healthcare Revenue Cycle (CHRC) by Northwind
  • Apple Certified Associate (ACA)
  • Cisco Certified Internetwork Expert (CCIE)
  • First Aid/CPR Certified
  • Certified Healthcare Consultant (CHC) by Healthcare Consultants Society USA
  • SHRM Certified Professional (SHRM-CP)
  • CompTIA Security+
  • Health Insurance Portability and Accountability Act (HIPAA) Certification

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