Member Service Guide
Devoted Health
Nov 2024 - Current (1 year 9 months)
Served as a front-line representative for a Medicare Advantage health plan, providing phone support to members and patients. Assisted with benefit verification, appointment scheduling, and provider referrals. Explained coverage details, copays, and preventive care services in a professional manner. Managed members accounts including ID verification, and documentation while ensuring HIPAA and CMS compliance. Supported care coordination efforts by liaising between patients, providers, and insurance systems.
Provided high-quality member support by entering, updating, and maintaining accurate health plan data in internal systems. Reviewed and verified information for accuracy and completeness to ensure compliance with healthcare regulations. Co