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Alexis

Remote Enrollment Specialist Representative

Contato

Texas City,Texas,United States
Disponível na CazVid
Contato pela CazVid

Competências

SalesforceIntermediate

Demonstrated experience with Salesforce.

ZendeskIntermediate

Demonstrated experience with Zendesk.

QNXTIntermediate

Demonstrated experience with QNXT.

VBAIntermediate

Demonstrated experience with VBA.

Microsoft Office SuiteIntermediate

Demonstrated experience with Microsoft Office Suite.

Formação acadêmica

High School Diploma
Preparatoria #22, Universidad Autónoma de Nuevo León (UANL)
Completed 2006

Idiomas

enNative

Experiência

Remote Enrollment Specialist Representative

Brighton Health Plan Solutions
Jan 2023 - Present

Provide front-line support to members and providers regarding benefits, eligibility, and claims., Resolve escalated issues while maintaining compliance with HIPAA and company policies., Utilize Salesforce and Zendesk for case management and documentation., Deliver accurate and timely information to ensure customer satisfaction and retention.

Remote Business Developer Representative

Sendero Health Plans
Jan 2019 - Dec 2022

Assisted members with inquiries regarding health plan benefits, coverage, and claims status., Processed requests in QNXT system with high attention to accuracy., Collaborated with internal teams to resolve provider and member escalations., Consistently exceeded performance metrics for call resolution and service quality.

Senior Representative

Aetna Health Texas
Jan 2016 - Jan 2019

Supported complex claims processing and member issue resolution., Mentored and trained new representatives on QNXT and Salesforce systems., Monitored compliance with regulatory standards and internal guidelines., Recognized for improving resolution turnaround time and enhancing customer satisfaction.

Habilidades

SalesforceZendeskQNXTVBAMicrosoft Office Suite
Publicado na CazVid - 17 de mai. de 2026
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