Customer service representative:
- Completed eligibility determinations for medical programs by following policy and procedures that govern the medical program. Managed cases by processing renewals, additions, recalculations, address changes, deletions and cancellations. Also, corrected billing issues by checking client accounts, and removing/adding charges. Answered phones to assist clients with questions regarding their cases and the Allkids program. Responsible for investigating income reported and unreported by clients, such as: social security income, unemployment income, self-employment and earned income. Verified immigration status of clients using the US Homeland Security System.
Proficient in: Excel, Bluezone, Wingrape, Access, KIDS, SDU, SOLQ, Word, IES, SAVE, MAXIL, SOS, The work number, PAAS.
- Translating Spanish when needed- phone calls and translating documents (reading and writing)
- Adhered to strict client confidentiality laws and site-specific procedures to uphold privacy and provide best experience possible.
- Utilized complex client management systems, both digital and manual and maintained sensitive information in highly encrypted databases.
- Described procedures, requirements, and benefits to clients and interested parties.
- Maintained strict confidentiality while handling sensitive client information, adhering to all relevant privacy regulations.
- Reduced case processing time with diligent paperwork completion and timely submission of required documents.
- Inputted information and obtained quantitative and qualitative data on client details to provide services requested.