Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care Establish a community presence, promote Member education, identify and resolve any systemic barriers that limit Members access to appropriate care Receive and respond to Member complaints and formal grievances and identify potential access barriers and resolve as indicated in the grievance procedure Investigate and resolve access and cultural sensitivity issues identified by Member Services staff, State staff, providers, advocacy organizations and recipients Participate in local community organizations to acquire knowledge and insight regarding the special health care needs of Members and update and revise educational materials as appropriate Serve as primary contact for Member advocacy groups, human services agencies and the State entities Maintain confidentiality per HIPAA guidelines

Responsible for assisting in the warehouse operations for unloading, auditing, and staging product to recover store inventory. Experience driving a forklift Effective communication skills Attentive to detail Ability to work in different weather conditions Ability to work in a fast paced environment and meet established deadlines

Provide Investment Plans and Insurance Packages, financial planning

Manage product and company resources.Enter data on parts held by company and those shipped to other organizationsRecognize and resolve quantity discrepanciesCreate request tickets as neededRecord inventory items and access to company databases to enter updatesTrack inventory shipments

Respond to complex customer callsBilling and Payment issuesQuickly and effectively solve customer challenges.Resolve Customer service inquiriesBenefit and Eligibility informationCustomer material requestsPhysician assignmentsAuthorization for treatmentExplanation of Benefits (EOB)Provide excellent customer serviceConstantly meet established productivity, schedule adherence, and quality standards

Business to Business SalesAnswer Customer questions regarding products and services such as pricing availabilityProcess A/R Credits and RebillsCoordinates solutions with appropriate DepartmentsPerform date processing related duties including encoding data entry and retrieval and routine computer terminal operations, EDI ordersSpecialized in Baptist health, Jackson Memorial, Broward Health AccountsRapidly respond to customer needs by clarifying customer understanding of products and service features in a concise and detailed manner

Insurance Sales of Health, Life and Variable Annuities Florida Licensed Insurance AgentCall Policy Holders to deliver and explain policyAnalyze insurance program and suggest additions or changesExplain beneficiaries benefits