Kenya Hampton Email & Phone Number

United States

Director of Social Services

New York, Ny

Manage the day to day operations of the Medicare division in Customer Services• Responsible for maintaining the Medicare policies and procedures based on internal needs as well as CMS Guidelines.• Work closely with the Medicare Operations Department, Marketing, Retention, Network Relations as well as Medicare Utilization Management to ensure compliance and to act as a liaison between the departments.• Work closely with Regulatory Affairs during CMS Audits with the compiling of data and providing Plan of Corrections for deficiencies. • Work with outside vendor for all eligibility and claims issues as well as implementation • of new processes• Assist in the training of New Medicare Marketing/ Customer Services Representatives• Attend all Annual Notice of Change Town Hall meetings to educate members on benefit changes.• Develop/train new representatives for current and future tasks.• Direct and supply each individual representative with their bi-weekly schedule and bi-weekly goals. Follow-up diligently to track each person’s progress.• Report to the Department Director monthly the production and activity for each member on my team.• Maintain a positive attitude within the team. Keep motivation and moral high.• Trained in the Healthcare Exchange

New York, Ny

• Responsible for the implementation of Policies and Procedures for CHP Retention• Responsible for the training of all new Retention Representatives on documentation• Responsible for maintaining a renewal rate of 75% and above.• Maintained the data base for the tracking of the appointments and Recertification.• Responsible for monitoring the representatives quality goal of 95% or higher.• Act as covering Supervisor for other LOB.

New York, Ny

• Supervised staff of 10-15 Enrollment Specialist representatives. • Manage, direct and coached existing staff to ensure compliance regarding departmental procedures and state mandates.• Reviewed daily statistics regarding departments performance in addition to representatives individual performance• Provided necessary feedback on a bi monthly basis regarding representatives productivity and provided suggestions and feedback when applicable.• Responsible for reviewing and addressing any issue regarding productivity and time and leave with representatives union delegate• Prepared and presented documentation for disciplinary hearings for representatives• Responsible monitoring trends and providing feedback to superiors to improve on overall effectiveness of the department and staff

Education record

Education record

Education record