Experience

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  Health Net

  • United States
  • Insurance
  • 700 & Above Employee

  • Membership Accounting Rep Lead

    • Jan 2017 - Present

    Coordinates and monitors daily processing for the staff to maintain eligibility database within departmental guidelines and goals.• Monitored processing, tracks and delegated work based on departmental goals, backlogs and ensuredequitable distribution. Ensured quality and productivity goals are met by coaching, feedback andassistance with complex issues.• Managed a team consisting of 9 associates• Attended membership calls/ meetings to discuss daily production by the team, process flows, launchingof a new system/software, issues that may cause an impact to members, etc.• Acted as a Subject Matter Expert on various committees in the dept. of company-wide initiatives.• Monitored the unit’s schedule for sufficient coverage. Reviewed aging of service forms, emails, specialreports and OMNI items, while continually re-prioritizing based on departmental needs. Prepared reportsand documentation concerning departmental activities.• Reviewed weekly auditing reports for accuracy and maintained accuracy and production tracking logs.• Mentored and trained new associates. Advise/counsel staff members on correct procedures.• Responded to escalated phone calls from other service centers and internal units• Processed manual overrides for the Eligibility Reps

  • Eligibility Rep II

    • Mar 2015 - Present

    Processed and maintained eligibility information for routine individual and/or employer groups.• Entered system eligibility data on a daily basis, including new enrollees, customer demographic changes, and dis-enrollments. • Conducted periodic audits of group eligibility data.• Responded to all written and telephone eligibility inquiries from individuals or assigned employer groups. • Data-Entry processing/ Clerical duties• Processed an average of 50+ enrollments per day. • Answered 100+ calls per month assisting brokers, employer groups, member services, account services and internal associates• Processed electronic tape files received from employer groups.• Processed Reject and EIP reports for affordable care act members• Sorted and processed return mail• Maintained quality and production standards as outlined by the department.• Assisted on special projects for Affordable Care Act members

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  Charter Communications

  • United States
  • Telecommunications
  • 700 & Above Employee

  • Sales Support Account Coordinator

    • Jul 2012 - Apr 2014

    Responsible for providing administrative sales support to commercial coax, bulk and fiber account executives / sales managers.• Entered leads, created opportunities, requested site surveys and design requests.• Generated service agreements and quotes for customers.• Accurately moved stages within salesforce.com to determine the completion of the sell.• Created/input ROI's (Return on Investment) and quick quotes to receive capital approval. • Solely responsible for managing the Warner Brothers strategic account that consisted of 300+ accounts.

  • Customer Sales & Service Center Representative

    • Apr 2005 - Jul 2012

    Provided excellent customer service to enhance the overall customer experience and to promote/sell products to increase company revenue.• Performed customer payment functions by processing cash, check and credit card payments.• Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving billing issues/complaints to maximize efficiency.• Educated customers on products and services through product demonstrations.• Entered new install, upgrades, disconnects and trouble call orders using CSG billing system.• Responsible for inventory maintenance and opening & closing the customer lobby.