Healthcare Support Professional
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Detail-oriented and compassionate healthcare support professional experienced in managing high-volume caseloads while maintaining accurate documentation and timely follow-up. Skilled in coordinating referrals, scheduling appointments, and communicating clear updates to patients and internal teams. Known for a kind, approachable personality that helps patients feel supported and understood, even in complex situations.
Committed to following established procedures, meeting service level expectations, and escalating concerns appropriately to ensure seamless care coordination.
Medicare and Market Place Agent/Remote at Pitch Perfect Solutions (2024-09 – Present)
Advised members on Medicare and Marketplace coverage options, ensuring clear understanding and optimal use of benefits. Acted as a dedicated advocate by resolving provider and medication issues through direct coordination with healthcare offices and pharmacies, consistently delivering high-quality, member-focused service.
Case Manger/Customer Service Remote at Alignment Health Plan (2023-06 – 2024-03)
Oversaw Medicaid member intake and resolution of complex cases, ensuring regulatory compliance, precise documentation, and consistent follow-through. Served as a liaison between members, CMS, pharmacies, and primary care providers to resolve eligibility issues and eliminate delays in care. Provided proactive, concierge-level support in a high-volume remote setting, identifying and removing barriers to ensure seamless access to services.
Member Advocate Specialist at ALTA RESOURCES: BLUE CROSS-BLUE SHIELD (2021-12 – 2023-07)
Provided comprehensive support for health insurance inquiries, including benefits, claims, billing, and prior authorizations across multiple communication channels. Analyzed policy and claims data to resolve complex issues while maintaining strict compliance with plan guidelines. Partnered with cross-functional teams to address escalations efficiently and safeguard timely access to care.
Delivered clear, member-focused guidance that empowered individuals to make informed healthcare decisions in a fast-paced remote setting.
Some college (no degree) – Florida Southwestern State College (2020-01 – 2023-01)
High school diploma – Lennard High School (2019-03)
