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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.

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

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

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

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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.

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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.

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

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

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

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.

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

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

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

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

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

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

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Maximized customer interest and sales levels by displaying products appropriately.

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

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

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Processed patient menu selections utilizing computerized diet office system.

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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.

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Education

2017

Richland Northeast High School

Columbia, SC

High School Diploma



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