Shavon Pilot

● works remotely and provides recommendations,responding to phone calls,emails,and other inquiries from patients, their families, and healthcare providers in a timely, professional, and courteous manner

● analyze and review information on health plans,benefits and services to the patients and their families, including eligibility requirements, covered services, and out-of-pocket expenses

● review and analyze legal documents submitted to assist with possible administrative actions

● analyze and review billing and insurance issues, including working with other insurance providers to obtain pre-authorizations, verifying coverage, and ensuring accurate billing

● handle complaints and concerns from patients and their families, using active listening and problem-solving skills to resolve issues and provide a positive customer experience

● document patient interactions and maintain accurate records in accordance with healthcare regulations and policies, including hipaa and other privacy laws

● collaborate with other healthcare professionals, including doctors, nurses and administrative staff, to ensure that the patient needs are met and care is coordinated across providers

● follow up with patients to ensure customer satisfaction and resolve any outstanding issues

● handle and de-escalate service issues and concerns

• Successfully assisted in analyzing report data and comparing to annual revenue
• Analyzed collected data to prepare summaries for management
• Ensuring account balances are paid on time, and negotiated in a way to satisfy business requirements as well as customer satisfaction
• Collected information to respond to inquiries and research questions
• Account management for up to 200 accounts at one time analyzing data and ensuring accurate up to date information is added to accounts
• Calling places of possible employment to update income for absent persons with outstanding balances
• Notifying garnishment of wages if person refuses to pay after multiple attempts and employment verification has been made
• Skip tracing to locate close relatives and or friends and calling to locate or obtain account holders
• Tracked statistics for daily, weekly, and monthly performance
• Analyzing employee documentation to ensure all accurate information is provided for inquiry in question
• Assisted With marketing efforts by participating in promotional events, assisted with creating marketing materials, and providing feedback to marketing team
• Provided training and mentorship to onboarding team members
• Providing additional assistance with conducting strategic analysis, reporting, and forecasting for evaluation of budget plans

• Provided excellent customer service by responding to customer inquiries,providing product information, resolving any issues that arose
• Provide excellent customer service as well as assistance with customer technical assistance inquiries while providing product information and answering questions
• Walking customer through step by step instructions to ensure knowledge on how products operate
• Screen share by sending link to member device to remotely access devices and navigate through issues
• Performed administrative tasks such as scheduling daily appointments, maintaining customer records, and preparing customers' sales reports
• Assisted in escalation calls, and provided accurate information from knowledge base to the customer
• Use of Smart Forms, and other internal data entry tools
• Handling sensitive personal employee information
• Wrote technical reports documenting project and program assignments and activities such as program evaluation results, research findings and /or timeline resource requirements for projects
• Working cross-functionally with stakeholders at all levels for legal related policies
• Working with on site HR business partners for investigation follow ups on Contact tracing
• Assisting with administrative duties

• Prepare monthly, quarterly, and yearly spending plans
• Oversee all employee and office account to ensure monthly quotas are met and budget amounts are not exceeded
• Managing Office inventory and keeping up with product ordering and budgeting
• Answer and transfer phone calls to appropriate departments
• Analyzing and evaluating effectiveness or programs, policies, and procedures to improve efficiency
• Scheduling meeting with employees to go over and analyze documentation
• Conducting staff meetings to analyze and put budgets into action, while making estimates of future financial need for these concerns
• Establishing work plans and timelines to ensure completion of work tasks, projects and assignments
• Manage office files to ensure all documents are in organized and orderly fashion
• Compose and ensure rapid response to emails
• Creating job board listings for open positions
• Analyzing resumes for possible qualified candidates, and interview scheduling
• Conducting phone interviews to determine qualifications and then setting up in person interviews

• Collaborated with team members to share knowledge and strategies
• Assisted with marketing efforts by participating in promotional events, assisted with creating marketing materials, and providing feedback to the marketing team
• Collaborated with internal departments insure that they fulfill customer requests Responded to inquiries from customers, staff, and management
• Reviewed and reported on personal services and operating equipment and expenditures
• Gathered and analyzed various reports including administrative projections, reimbursement projections, daily budget reports, monthly revenue reports and quarterly summaries
• Maintained various budget allotment solvency by reviewing and tracking allotments and expenditures and, when necessary, make recommendations to upper management regarding realignment of allotments based on actual needs
• Charted historical comparisons in workload,expenditures,and forecasting data to make
• recommendations to management concerning efficient utilization of resources performed a
• variety of analytical techniques to resolve complex budgeting and managerial problems
• Developed,maintained,and amended contracts
• Wrote technical reports documenting project and program assignments and activities such as program evaluation results, research findings, progress reports and/or timeline and resource requirements for projects