Natalie Schultz

• Evaluated client needs and expectations by handling new member enrollments, changes to existing medicare plans, and in service areas pertained to CMS medicare guidelines.
• Daily processing of files for enrollment and loaded into GEPA, worked discrepancies out of GEPA to be processed in Market Prominence.
• Working and solving and errors on the daily dashboard that is sent out regarding any member enrollment discrepancies.
• Attend and engage in Team Huddles.
• Weekly processing of a 600+ enrollment file that is not automated.
• Assisted in gathering and analyzing client requirements to support project development.

• Delivered exceptional customer service by addressing patient inquiries and resolving issues promptly.
• Coordinated medication delivery schedules to ensure timely access to specialty infusion services.
• Managed patient records using electronic health record systems, maintaining accuracy and confidentiality.
• Established patient care with CVS Coram RN nursing.

• Analyzed eligibility data to ensure compliance with regulatory standards and guidelines.
• Reviewed and processed applications for various assistance programs, verifying documentation accuracy.
• Collaborated with cross-functional teams to streamline eligibility determination processes and improve efficiency.
• Handled a strict book of business of 60 groups for there health insurance weekly updates and or new enrollments and cancellations.
• Implemented process improvements that reduced application processing times significantly.

• Provided compassionate support to patients, enhancing overall care experience and satisfaction.
• Assisted healthcare teams in coordinating patient services and follow-up appointments effectively.

Process daily customer service inquiries which could include: •Enter notifications, of ICD9 procedure codes.

Received inbound calls from provider offices inquiring about prior authorization requirements.

Maintained strict departmental adherence policies.