Highly experienced Customer Service Representative with a solid understanding of general administrative and clerical functions as well as excellent organizational, analytical and problem-solving skills. Dedicated to maintain high level of professionalism at all times, while providing exceptional Microsoft Office support for all customers who need assistance. Flexible with hours, works well in a fast paced environment and able to remain calm under pressure when faced with difficult or difficult situations. Strong communicator, multi tasker and team player that is ready to take on new challenges
• Supervision and Team Management• Escalation Handling• Enrolling healthcare providers with insurances which includes all the Online Portals• Experience in all 52 states enrollment process which includes Medicare, Medicaid, DMERC, BCBS, and all the other Commercial insurances• Communicate & advise the designated contact person of the paperwork necessary to begin the application process for new providers, including any necessary research to gather all details to appropriately enroll a provider• Communicate & advise the provider or designated contact person of the sequential steps needed to begin the enrollment process, through completion and set timeline expectations• Maintain contact with the designated contact person to obtain application signatures and collect all required documents to include with the completed applications• Contact health plans to request provider enrollment application packages and/or required action for enrollment and continue follow-up with insurance plans by telephone or email until all provider applications get Approved• Prepare & distribute Payor Affiliation Reports and Status Notes to the designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider Applications• Any other assigned responsibilities as requested by Assistant Manager, not specifically noted above
Complete payor enrollments and all related forms in order to achieve successful enrollment outcomes in a timely and defect-free manner with healthcare payors
Consistently document work assignment progress, enrollment follow-up status, and relevant in-process tasks within the specified systems and time frames.
Participate in daily management huddles and ongoing process improvement events to support a culture of continuous evaluation of quality and improvement.
Communicate with healthcare payor enrollment contacts to understand process and use this information to forecast accurate estimated effective dates for providers and groups.
As necessary, escalate matters to management that may impede the process for timely enrollment with healthcare payors.
Complete related administrative tasks that support the enrollment process included but not limited to document imaging & indexing and preparation of check requests.
Complete other duties as assigned.
Embodies the principles of the CureMD mission, vision, and values.
Complies with departmental and CureMD policies and procedures.
Responsible for adhering to Information Security Policies and ensuring CureMD is as secure as possible.
I worked in 1n1 solutions as a TSR Agent, US and Canada Campaign
Product: Top Up Pakages
I worked as a TSR agent in Wotex Technologies.