Senior Guide

• Mar 2023 - Present

Strong de-escalation skills An ability to diagnose the root cause of a member's challenges and follow them through resolution Strong time management skills An ability to operate in the gray and pivot in real time Consistently in approaching their work with optimism

Member service Guide II

• Sep 2022 - Present

At Devoted I treat my members like family and guide them through the tricky healthcare world. I work on the case assassins team, work as a Pod Leader when needed to train new MSG's, I've worked on special projects and I help with our HelpDesk. No matter what I am doing, I am helping our members and our team and I love every second of it!

Member Service Guide I

• Jun 2022 - Sep 2022

Member Engagement Specialist II

• Aug 2020 - Jun 2022

I was a temp here for 8 months before being added to the team. Once hired on full time, I became a rep II within 9 months. I am an overachiever who is a top performer every day and gives my all to my members, so they always have a pleasant experience in a world of confusing insurance information. Job functions: Worked in MOP sorting RX’s and helping their team get caught up during COVID pandemic Worked in PI taking Benefits and eligibility calls and trained a new hire Works in MS… Show more I was a temp here for 8 months before being added to the team. Once hired on full time, I became a rep II within 9 months. I am an overachiever who is a top performer every day and gives my all to my members, so they always have a pleasant experience in a world of confusing insurance information. Job functions: Worked in MOP sorting RX’s and helping their team get caught up during COVID pandemic Worked in PI taking Benefits and eligibility calls and trained a new hire Works in MS taking calls, top performer, works my call tracks (outbound calls), both team call tracks and help out with peers on my team call tracks, work on side projects, use little to no ACW, Train new people, QCM’s are 95% and higher each time, enthusiastic about MP to new hires and make them feel our positivity. Actively assisting other assignments when asked. Rep 3 often leans on me for support with group chats while they are away. In May of 2022 I joined the Holiday Helpers Committee Show less I was a temp here for 8 months before being added to the team. Once hired on full time, I became a rep II within 9 months. I am an overachiever who is a top performer every day and gives my all to my members, so they always have a pleasant experience in a world of confusing insurance information. Job functions: Worked in MOP sorting RX’s and helping their team get caught up during COVID pandemic Worked in PI taking Benefits and eligibility calls and trained a new hire Works in MS… Show more I was a temp here for 8 months before being added to the team. Once hired on full time, I became a rep II within 9 months. I am an overachiever who is a top performer every day and gives my all to my members, so they always have a pleasant experience in a world of confusing insurance information. Job functions: Worked in MOP sorting RX’s and helping their team get caught up during COVID pandemic Worked in PI taking Benefits and eligibility calls and trained a new hire Works in MS taking calls, top performer, works my call tracks (outbound calls), both team call tracks and help out with peers on my team call tracks, work on side projects, use little to no ACW, Train new people, QCM’s are 95% and higher each time, enthusiastic about MP to new hires and make them feel our positivity. Actively assisting other assignments when asked. Rep 3 often leans on me for support with group chats while they are away. In May of 2022 I joined the Holiday Helpers Committee Show less

Provider Inquiry Representative/Member Service Representative TEMP

• Dec 2019 - Aug 2020

I worked as a member engagement specialist and then Provider Inquiry Representative for Martin's Point. See info above for details. This was a temp position. I processed payments for premiums, checked benefit for members, answered questions about PCP and specialist, checked eligibility and benefits for providers. Filled in for front desk as well as helped with MP's MOP. I worked as a member engagement specialist and then Provider Inquiry Representative for Martin's Point. See info above for details. This was a temp position. I processed payments for premiums, checked benefit for members, answered questions about PCP and specialist, checked eligibility and benefits for providers. Filled in for front desk as well as helped with MP's MOP.

Insurance Representative

• Feb 2019 - May 2019

Position was eliminated but I was processing prior authorizations for referrals, surgery, procedures, and imaging. I worked the authorizations to obtain them, look through medical documentation to ensure that info entered was correct, when denial faxed back to provider for more info. Worked appeals to get approvals for imaging and procedures. Answered calls from providers and patients about their status of auth. Position was eliminated but I was processing prior authorizations for referrals, surgery, procedures, and imaging. I worked the authorizations to obtain them, look through medical documentation to ensure that info entered was correct, when denial faxed back to provider for more info. Worked appeals to get approvals for imaging and procedures. Answered calls from providers and patients about their status of auth.