Carol L. Byer Email & Phone Number

Offer behavioral health services to parents of children with autism, TMS, OCD, and ADHD, which involves administering referrals, triaging candidates for clinical appropriateness, and consult with patients regarding insurance and financial responsibility. Collaborate with the Director, Clinical Services.► Perform consultations with patient, explain treatment and answer questions.► Explain patients’ responsibility to insurance policy and financial obligations.► Maintain positive, professional, and effective working relationships with stakeholders including referral sources, local organizations, and family members.

Provided strong educational support to meet faculty needs.► Conducted direct classroom instruction for classes kindergarten through high school.► Followed prepared lesson plans for core subjects; offered learning support for special needs students, and provided mentorship.

Philadelphia, Pa

Recruited businesses to partner on events, in order to drive leads.► Nurtured, built and cultivated direct-to-seniors and business-to business partnerships to generate new patient opportunities year-round.► Planned, coordinated and executed local events within the community (e.g., information tables, health fairs, doc talks, etc.) to reach medically underserved, Medicare-eligible seniors.► Maintained up-to-date client information in the customer relationship (CRM) tool, (Salesforce). Utilized CRM to document interactions with clients, and ensured effective management of leads.

Philadelphia, Pennsylvania, United States

Educated seniors about Medicare and disabled individuals about the benefits of MAPD plans. Conducted needs analysis and issued recommendations on optimal plans.► Conducted sales and process enrollments as well as determined eligibility for SEP, Dual-Eligible and Annual Enrollment Period enrollments. Maintained high closing rates.► Enrolled and complied with CMS guidelines with Scope of Appointment telephonically, email and written communications.► Ordered leads according to demographic criteria, new to Medicare, and DSNP.

Advanced to this role to conduct sales of Medicare Advantage plans, and process enrollments for AEP and SEP. Consulted with consumers to determine eligibility for special enrollment period, as well as dual-eligible and low-income subsidy individuals.► Complied with HIPAA and CMS regulation.► Educated seniors and disabled individuals about Medicare products, benefits and eligibility requirements.► Consistently meet or exceed all performance and quality metrics.

Blue Bell, Pennsylvania

Provided customer outreach to Medicaid recipients to cover gaps in their health insurance coverage, which involved addressing gaps in coverage by scheduling appointments with provider, confirming pre-existing appointments, and obtaining referrals.► Researched and assisted members with obtaining new providers in network.► Ascertained Medicaid compliance with members► Diagnosed and resolved customers' issues.

Master'S Degree, Communication, Journalism, And Related Programs

Bachelor Of Arts - Ba, English