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Provider Data Enrollment

Location:
Columbia, SC, 29201
Posted:
October 05, 2023

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Resume:

KP

Krubo Pewu

Professional Summary

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Work History

LEGO - Consumer Product Advisor

07/2022 - Current

Blue Cross Blue Shield - Provider Enrollment Analyst 03/2021 - 06/2022

Census Bureau - Census Enumerator

Williston, North Dakota

03/2019 - 03/2021

Works with sales and marketing to define the go-to-market strategy, helping them understand the product positioning, key benefits, and target customer.

Analyzes potential partner relationships for designated product and works with key partners throughout the product life cycle.

Responds in a reliable, knowledgeable, and engaging way to inbound consumer contacts through phone calls, email, snail mail, and live chat.

Collaborates with cross-functional teams to develop and implement market research strategies.

Determined the acceptability of provider enrollment applications

(which may be used for initial full application, reenrollment, reactivations, change of information); provides in-depth review and verification/validation of provider data; verified provider data by use of information databases and various organizations/agencies to ensure authenticity; set up/tests EFT accounts.

Processes/entered/updated provider data information/applications into appropriate enrollment database used in evaluating/tracking the processing of the application and/or updating of provider directories.

Provided quality service and communicated effectively with external/internal customers in response to inquiries (correspondence, telephone).

Supplied enrollment applications and general information on the enrollment process to interested enrollees.

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

701-***-****

Columbia, Sc 29229

Skills

● Customer Relations

● Credit Card Transaction Processing

● Performance Data Analysis

● Statistical Data Analysis

● Marketing Collateral Development

● Audience Engagement Techniques

● Consultative Sales Techniques

● Survey Design and Development

● Data and Trend Forecasting

● Decision-Making

● Telemarketing Expertise

● Collaborative Environments

● Information Updates

● Productivity Standards

● Client Rapport-Building

● Product Knowledge

● Microsoft Office

● Customer Account Management

● Appointment Scheduling

● System Documentation

● Remote Chat Support

● High-Volume Call Centers

● Administrative and Office Support

● Complex Product Knowledge

● Document and Records Management

● Issue and Complaint Resolution

● Billing Adjustments and Refunds

● First-Tier Technical Support

● Policy and Procedure Adherence

● Documentation

Select Media Services - Merchandiser

Williston, North Dakota

05/2019 - 07/2020

CHI St Alexius Medical Center - Dietary Aide

Williston, North Dakota

01/2017 - 04/2019

Explained the objectives of surveys and their procedures to people who are to be interviewed.

Interpreted interview questions to assist people in understanding them and provided eloquent answers.

Assisted people in filling out survey forms and explained items on survey forms.

Double-checked information on survey forms or information pads to ensure the accuracy of information.

Planned and developed merchandising strategies that balanced customers' expectations and company's objectives.

Analyzed sales figures, customers' reactions and market trends to anticipate product needs and planned product ranges/stock.

Collaborated with buyers, suppliers, distributors and analysts to negotiate prices, quantities and time-scales.

Maximized customer interest and sales levels by displaying products appropriately.

Ensured patients menu selections were in compliance with prescribed diet order, nutritional adequacy, age, cultural background, and religious practice.

Obtained menu choices from patients and guests via phone order or patient visitation.

Processed patient menu selections utilizing computerized diet office system.

Updated, monitored, and followed-up on all pertinent information such as new patient admissions, discharges, transfers, diet order changes, food allergies, food preferences and food requests.

Education

2017

Richland Northeast High School

Columbia, SC

High School Diploma



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