Handled up to 90 calls from the public, health providers, and AHCCCS members following established call center protocols.
Performed medical assistance eligibility verification for members and providers through Health e Arizona Plus and conducted enrollment verification using PMMIS.
Actively listened to members' concerns and addressed them effectively.
Clarified and discussed available options, demonstrating respect and patience during each interaction.
Supported members with inquiries regarding their open enrollment choices.
Investigated potential discrepancies such as multiple IDs, overlays, DOBs, and eligibility issues.
Provided switchboard/operator coverage as requested by supervisors.
Bilingual CSR
Progressive Leasing
Glendale, AZ
09.2022 - 03.2023
Answered customer calls according to established call center guidelines.
Processed ACH and credit/debit card payments efficiently.
Updated payment dates based on customer requests.
Handled denied applications promptly.
Maintained accurate customer bank, income, address, and email information.
Resolved customer payment concerns effectively.
Bilingual CSR
State of Arizona
Phoenix, AZ
10.2020 - 05.2022
Conducted verification of Medicare enrollment through CMS.
Assisted members in determining eligibility for Medicare Savings Program to facilitate buy-in requests.
Created referrals for residency verification of members.
Updated enrollment, eligibility, and demographic information in PMMIS to support reimbursement processes.
Handled up to 90 calls daily from the public, healthcare providers, health plans, and AHCCCS members in compliance with call center protocols.
Performed medical assistance eligibility verification using Health e Arizona Plus and conducted enrollment verification via PMMIS.
Actively listened to members' concerns and provided clear explanations of options with respect and patience during each interaction.
Supported members and providers with inquiries regarding eligibility and open enrollment.
Bilingual CSR
State of Arizona
Phoenix, AZ
03.2015 - 10.2020
Handled up to 90 calls from the public, health plan providers, and AHCCCS members while adhering to established call center protocols.
Performed medical assistance eligibility verification for members and providers utilizing Health e Arizona Plus and conducted enrollment verification through PMMIS.
Actively listened to members' concerns and provided appropriate responses.
Clarified and discussed options while maintaining a respectful and patient demeanor during each interaction.
Guided members through their open enrollment questions.
Investigated discrepancies such as multiple IDs, overlays, DOBs, and eligibility issues.
Updated and managed returned mail for members.
Supported a special project to verify members' dates of death with vital statistics.
Provided switchboard and operator coverage as needed upon supervisor request.
Education
GED - undefined
Phoenix College
Phoenix, AZ
High school - undefined
Camelback
Phoenix, AZ
Skills
Assisted customers in English and Spanish with inquiries
Supported customers in confirming their health insurance enrollment
Addressed customer queries in a timely manner
Documented processes with precision for accuracy
Conducted thorough eligibility checks
Managed various duties efficiently
Performed call center responsibilities with a high level of professionalism
Exercised active listening and adhered to instructions meticulously