Mykalia Burks

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Member Support Specialist

Virta Health

Jan 2024 - Current (1 year 2 months)

• Deliver exceptional support by addressing member inquiries, scheduling appointments, and troubleshooting issues. • Educate applicants on the Virta program, explaining its benefits and guiding them through the sign-up process. • Provide personalized solutions via email and chat, maintaining a high standard of member satisfaction. • Collaborate with operations teams to troubleshoot and resolve technical issues, enhancing the member experience. • Train new hires on operational procedures and effective customer interactions, improving team performance.
Member Experience Associate

Alignment Healthcare

Jan 2023 - Oct 2023 (10 months)

• Explained health plan procedures, protocols, benefits, and services to over 50 members daily, facilitating requests such as provider changes, transportation, and other assistance. • Documented 100% of member interactions in CRM systems, ensuring accuracy and compliance while improving data accessibility for follow-ups and resolution tracking. • Resolved 95% of member complaints, grievances, and dis-enrollment requests on the first contact by following established procedures and providing timely, effective solutions.
SCA Appeals Representative I

Elevancehealth

Aug 2022 - Jan 2023 (6 months)

• Processed patient's grievances and appeals while adhering to confidentiality and HIPAA rules. • Examined operating procedures to identify areas in which client contact and workflow effectiveness may be enhanced. • Effectively interacted with external parties and clinical teams to address non-clinical issues while providing clients' high-quality care.

Education 0% verified

Mykalia Burks

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Mykalia's behavioral traits
Mykalia's likely patterns of behavior, thought, values, and emotion. Based on the HEXACO model, OCP instrument, and Torre’s own research.