Aleksandra Devic Email & Phone Number

Milwaukee, Wisconsin, United States

Greater Milwaukee Area

Greater Milwaukee Area

Greater Milwaukee Area

• Optimize revenues and profits for the Individual Medical Line of business and Excepted Benefits markets by retaining customers through targeted proactive outreaches. • Applying the appropriate techniques to reinforce the value of current coverage and/or provide alternative plan options resulting in the customer either retaining their existing policy or purchasing an alternate plan design that better meets their needs.• Execute processes that effectively communicate the policy value proposition, decrease lapse potential and increase profitability. • Provide policy alternatives, education, and expertise to determine best fit and ensure customers make a well-informed decision regarding their coverage. • Utilize problem-solving techniques, probing questions, applies product knowledge and theory. • Independently diffuses situations to mitigate escalations. • Consecutively manages multiple retention based outbound call campaigns to customers based on business and market needs. • Meet and exceed individual and team performance objectives, service availability, campaign results, and quality goals. • Follow the operational processes and procedures established for the Outbound Customer Solutions Team. • Provide market and customer related information and trends. Identify process inefficiencies and communicates potential solutions.

Waukesha, Wi

• Verified patient insurance coverage, to ensure necessary procedures are covered.• Initiate prior authorization for Durable Medical Equipment.• Communicate and Educate patients on coverage amounts provided by their insurance policy.• Manage follow ups with patients, set up reps, doctor’s office and insurance companies regarding prior authorization or missing insurance information. • Provide status of order. • Exceed the daily, weekly and monthly goals in pre authorization department .

• Receive referrals from clients requesting the delivery and/or coordination of medical needs for their claimants.• Obtain and verify all required referral information for completeness and accuracy.• Process and order medical items / supplies (DME) through network vendors.• Schedule and coordinate Diagnostic (MRI) procedures with network imaging facilities.• Schedule and coordinate Transportation and Translation services.• Locate network vendors or local vendors in patient’s proximity to coordinate and provide requested medical services.• Negotiate cost and price with vendors and clients relevant to state fee schedules and industry U&C to ensure appropriate margins are achieved.• Manage and resolve all client inquiries and service concerns both internally and externally.• Communicate effectively with clients and customers on status of orders and maintain an average of 65+ open orders daily.• Build and maintain relationship with clients, claimants and vendors.• Provide the highest level of quality in service delivered.• Communicate effectively both written and verbally with customers to assist in resolving any questions and inquiries related to status of orders.• Work effectively with other departments to accomplish common organizational goals.• Answer both Inbound and Outbound phone calls.• Other tasks as directed by the Company from time to time.

• Answer incoming calls from a queue• Enter new referrals into Sequoia within one hour of receipt• Enter new referrals into pharmacy processing application when necessary • Keep accurate patient notes in Sequoia and pharmacy processing application on all patient records• Contact adjusters for patient updates, authorization of medications, doctors, etc.• Provide pharmacy payment information when requested• Assist adjusters with any questions regarding patient files • Stay current on ALL Cypress Care policies, procedures and applications

• Utilize headset and computer terminal and navigate through multiple systems to input and retrieve information. • Position requires ability to work in a very structured environment with a diverse workforce. • Adapt to dynamic, quickly changing telecommunications environment. • Accountable for call quality, attendance, and adherence to work schedule. • Accurate patient notes in claims management system and pharmacy processing application on all patient records.