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Click here or scroll down to respond to this candidateCandidate's Name
Dallas, TX Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLESkills Banking HIPAA
Medical billing
Administrative Computer literacy
Customer support
Facebook Advertising
Digital Marketing
Medical scheduling CRM Accountreconciliation
Marketing MedicalCodingBenefits SpecialistEnthusiastic client services professional with strong background directly interfacing with industry customers. Well-versed in products, services and consumer trends. Dependable achiever committed to holding highest ethical standards and maintaining customer trust. Ambitious professional offering excellent supervisory and performance-assessment skills. Versed in pacifying dissatisfied customers and utilizing effective listening skills. Proven history of reliability, professionalism and conflict resolution.Customer Svc Lead Rep-Medicare PlanChangeMagnit Global, Work From Home, TexasAEPResponded to member questions regardingplan benefits and provisions.Enhanced productivity and customer servicelevels by anticipating needs and deliveringoutstanding support.Inbound calls from current customers seekingsupport to change to another Cigna Medicareproduct.Outbound calls to existing customers to crosstalk into another Cigna Medicare product.Maintain detailed knowledge of all productsand procedures.Maintain active license and appointment in allCigna Medicare markets. Kept valid notationsand call trackers for all customers accounts.Gave product details and explained planbenefits, as well as copays costs for differentplans offered by cigna.Used systems to track andmonitor compliance with regulatoryrequirements and internal policies. MaintainingHIPAA rules and guidelines to ensure customersaccount/plan details are secured anduncompromised.Met customer call guidelines for service levels,handle time and productivity. Delivered promptservice to prioritize customer needs.Interviewed applicants and explained scope ofdifferent available benefits.Scheduled appointments with applicants togather information and explain benefitsprocesses.2023-09 to 2023-12 (seasonal/ contract work)Licensed Insurance AgentTZ Insurance, Richardson, TXAnswered questions and responded to inquiriesto deliver high level of service to patients.Maintained up-to-date knowledge of state andfederal regulations pertaining to Medicaideligibility.Provided guidance about different types ofinsurance products available.Processed applications and paperwork relatedto policy issuance or renewal.Interviewed prospective clients to gatherinformation on financial needs and discussexisting coverage. Responded to inquiries andexplained product features and serviceadvantages to potential customers.Maintained accurate records of all salestransactions using CRM software.Interviewed prospective clients to obtain dataabout financial resources and needs.Provided technical guidance to staff on programrequirements and procedures related toenrollment processes.Prioritized and organized tasks to efficientlyaccomplish service goals. Provided ongoingsupport for existing customers through phonecalls, emails, and meetings.2022-08 to 2023-08 (significant life change)Marketing ExpertFacebook, Richardson, TXLeveraged marketing data to forecast marketingcampaign success and sales trends.Implemented marketing campaigns andstrategies by interacting with consumers.Analyzed web traffic data to optimize digitalmarketing campaigns for maximum ROI.Evaluated digital presence by product, serviceor brand to help define digital strategies.Attended meetings and studied material toremain current on promotion techniques andservice benefits. Assisted in developing acohesive branding strategy that resonates withcustomers.Generated leads and exposure by providingrelevant product information. Summarized rawdata and analyses and made recommendationsbased on findings.Ensured compliance with all applicable lawsrelated to advertising and promotions.Performed administrative duties such asscheduling appointments, maintaining records,preparing reports and responding to inquiriesfrom customers or clients.Maintained CRM system and marketingautomation tools to keep data up-to-date.2021-11 to 2022-08 (contract work)Support Services CoordinatorConifer Health Solutions, Frisco, TXAdministered employee insurance, pension andsavings plans, working with insurance brokersand plan carriers.Generated reports on health care costs,retirement savings, and other related topics.Assisted employees with enrolling in benefitplans and explained plan options. Monitoredcompliance with federal and state regulationsconcerning employee benefits.Interpreted medical terminology andpharmacological information to translateinformation into coding system.Leveraged EMR software to post paymentsreceived for medical services.Reviewed patient records for accuracy andcompleteness of information in medical billingsystem.Generated monthly invoices for patients basedon services provided according to establishedfee schedules.Maintained detailed records of all billingactivities including denials, adjustments, andpayments received.Resolved discrepancies between insurancecompanies and patients regarding payment ofbills.Medical terminology: including but not limited to: UB04/RW1500/HCFA/EOB/COB etc.2019-03 to 2021-09 (work related injury)EducationBachelor's degree: InterdisciplinaryStudiesUniversity of North Texas At Dallas - Dallas, TX2015-08 to 2020-12Diploma: High School DiplomaGrand Prairie High School - Grand Prairie, TX2009-08 to 2013-05 |
