Hakeem Smith Email & Phone Number

New York, Ny, Us

▪ Managed inbound call center inquiries within specified timeframes to ensure prompt service delivery. ▪ Gathered and verified patient information from members, representatives, physicians, or hospitals, confirming eligibility, plan, and provider status. ▪ Created and updated cases within the Medical Management system following departmental workflows, policies, and procedures. ▪ Performed accurate data entry, including transcription of clinical information into case records. ▪ Conducted telephonic interactions with employers, employees, physicians, and insurance adjusters to assess medical needs such as surgery, hospitalization, or physical therapy. ▪ Produced and distributed routine CM letters and educational materials, contributing to member engagement and education.

Arlington, Va, Us

Syracuse, New York, Us

● Responsible for accurate review and entry of authorization data into computerized database. Manages expiring authorization reports.● Assists case management with scheduling and coordination of patient services, as directed.● Acts as a resource to Care Managers, assists with scheduling and tracking of Member contacts, visits & UAS.● Assisted providers, Medicaid and Medicare members on benefits issues, claims inquiries, and eligibility verifications.● Manages various reports within EHR as directed.

Long Island City, Ny, Us

● Providing administrative and non-clinical member service support for members of the HealthierLife plan.● Completing all required and related paperwork and documentation in information systems/ electronic record (i.e. authorizations, securing provider assignments, etc.)● Creating spreadsheets with appropriate data in order to provide others with operational reports.● Provided front-line response to members and providers requesting information on or access to Behavioral Health services● Facilitating access, for clinical case management sta, to non-emergency care and triage requests as well as urgent and emergency care requests● Assist HARP Care Managers doing high acuity clinical cases. Assist with reports, generating letters, follow up phone calls, and other requirements● Coordinates services and care related to HARP members, including scheduling appointments for Members, arranging transportation to appointments when necessary, obtaining health records from providers,

Mclean, Virginia, Us

● Responsible for answering inquiries from Marketplace individual consumers including but not limited to general information as well as assisting individuals and families in applying for health care coverage through the Marketplace● Perform co-browse interactions with consumers seeking assistance with the application process via the NYSOH, as necessary● Train new employees in data entry, how to converse with customers and new technologies.● Process life event changes, demographic updates, disenrollment requests, and special enrollment periods as requested

Pittsford (Rochester), Ny, Us

● Maintained a high level of knowledge and understanding of product features, services, marketing promotions and special oers.● Trained and mentored employees on conflict resolution, JIRA, and Zendesk CRM.● Meet/exceed all performance expectations including products sales, add-on sales, call handling metrics, and quality standards.● Handle 80+ customer interactions per day, giving detailed,personalized, friendly, and polite service to ensure customer retentionand satisfaction● Ensure a safe and harmonious working environment for all other teammembers and delegate duties to all team members.● Monitor all calls to ensure that due procedures and quality standardsare strictly adhered to.

Bachelor Of Science - Bs, Psychology

Associate Of Science - As, Psychology