Customer Service Excellence: Manage customer inquiries and case resolutions using Salesforce, achieving a consistent customer approval rating of 90% or above.Technical Proficiency & Case Management: Specialize in troubleshooting issues related to non-processing virtual cards and utilize multiple systems to track and verify checks for processing centers.Financial Transaction Handling & Attention to Detail: Handle significant transactions between clients and vendors, often exceeding $10,000, with a focus on accuracy and compliance.Problem Solving & Process Improvement: Process refunds and chargebacks efficiently, applying critical thinking to enhance processes and increase customer satisfaction.Communication & Team Collaboration: Maintain clear and effective communication across all channels and collaborate with team members to improve service delivery and operational efficiency.

Process an average of 20 medical claims daily with meticulous attention to detailInitiate on average 50 daily outbound calls to various insurance companies. Verifying eligibility and insurance benefits for over 300 patients monthly, ensuring accurate claim submissions and minimizing denials.Dedicated to upholding precision and ethical standards in every facet of the reimbursement workflow, ensuring adherence to regulatory guidelines and industry norms.Maintained detailed documentation of provider, payer, and client interactions within the CareMetx Connect system.Reported adverse events in alignment with training and SOP requirements

Review employment applications and job orders to match applicants with job requirementsSearch employee files to obtain information for authorized persons and organizations, such as credit bureaus and finance companies.Interpret and explain human resources policies, procedures, laws, standards, or regulations.Provide assistance in administering employee benefit programs and worker's compensation plans.Explain personnel policies, benefits, and procedures to employees or job applicants.

Experienced Work At Home Agent who is able to create an efficient work environment based on the company’s work at home guidelines.Managed staff schedules including coordination of interviews and onboardingKept notes from meetings and circulated among required staff membersDrafted, revised and delivered internal and external correspondenceProvided intake for calls and walk-in customers

• Assist the program director in strategic development and implementation• Maintained confidential personal and business documents.• Developed and updated curriculum and activity plans, ensuring they align with educational goals and standards.• Efficiently managed staff schedules, overseeing interview coordination and onboarding procedures to ensure seamless team operations.• Oversaw daily office operations, including scheduling, filing, and communication, ensuring smooth and efficient workflow.

Assisted patients in selecting durable medical equipment to suit their needsCoordinated with third-party payors to complete paymentsManaged confidential, personal health information in secure systemsMaintained customer and order information conforming with internal standardsSuperior Customer service support which guided patients buying decisions while meeting an agreed upon sales goal.

• Inform, educate and enroll customers to successfully transition into the individual insurance market• Make outbound calls to customers, carrying out needs assessment and correctly qualifying participants' needs related to Medicare Health Insurance (Medicare Advantage, Medicare Supplement, Cost Plans, and Prescription Drug Plans)• Provide solutions that make it easy for the customer to decide on the plan while overcoming customer objections• Handle inbound calls to enroll customers compliantly and efficiently into selected Medicare Health Insurance (Medicare Advantage, Medicare Supplement, Cost Plans, and Prescription Drug Plans) and update customer accounts thoroughly• Effectively manage sales pipeline• Deliver expected sales for individual, team, regional, and overall targets (conversion rate, close ratio, etc.)• Actively manage a book of business to ensure all retiree needs are met on a timely basis (respond to retiree voicemails, internal chat requests, partner with customer service and operations, handle and support customer complaints and/or client escalations) • Deliver a consistently positive customer experience in a highly ethical and professional manner• Ensure sales quality by asking questions and partnering with management support as needed• Advise of and administer all employee benefits including: Health, Dental and Life Insurances, Dependent and Healthcare Flexible Spending Accounts and Long and Short-Term Care Coverage. • Ability to effectively problem solve; de-escalate situations and identify steps that provide relevant and related actions• High agility with navigation through multiple computer applications including the web and utilizing a keyboard effectively and efficiently