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Customer Service Medicare Advantage

Location:
Weirton, WV
Posted:
July 09, 2024

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Resume:

*** ****** ***. *** *

Weirton, WV *****

304-***-****

************@*****.***

Rachel Hawthorne

SKILLS

MS Word, Excel, PowerPoint, Access, Outlook,Teams, Web Ex. Ability to answer and transfer large amounts of calls promptly. Excellent oral and written communication skills.

Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Professionalism, Quality Focus EXPERIENCE

Aetna/CVS Health, Moon TWP— Eligibility Consultant March 2019- Present

● Use multiple systems to research, work, and update members demographic information while using complex problem solving skills to determine enrollment based changes to member location.

● Research and verify Medicare and Medicaid Eligibility for Medicare Advantage plans and processing according to CMS guidelines.

● Analyze Reports and communicate results with team and clients

● Ability to reconcile enrollment issues with enrollees. Basils Sports Bar, Weirton— Server/Bartender

March 2014- June 2019

● Knowledge of troubleshooting/Problem solving

● Taking accurate orders while maintaining sales

● Health and Hygiene Protocols

● Responsible Service of Alcohol Standards

Ohio AIDS Resource Cebter, Columbus— Testing Counselor September 2013- March 2014

● Tested Clients for HIV/STD’S. Helped clients find medical care, financial help, and support groups. Answered calls for the Hotline and directed clients where they needed to go.

● Helped organize fundraising.

● Earned excellent ratings on office reviews for my complete employment.

● Recognized for high-quality work, and organizational strengths. EDUCATION

West Virginia Northern, Weirton— Associates in Psychology 2015-2017, Weirton

References available upon request



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