Halima Jhoti

Managed 20-30 daily Medicaid member and provider inquiries involving benefits, claims, appeals, prior authorizations, and account requests. Maintained approximately 95% average monthly quality-assurance scores while working within HIPAA, PII, and PHI requirements.

Evaluated client needs, medication formularies, provider networks, and plan benefits to recommend suitable Medicare coverage. Documented customer information and supported compliant enrollment while explaining complex plan options in clear, decision-oriented terms.

Maintained Excel training trackers using conditional formatting to monitor course completion, learner activities, and daily progress. Tracked training schedules, documented daily activities, organized instructional materials, and communicated agenda changes to supervisors and operations leadership.

Reviewed contractor agreements and supporting records for signatures, accuracy, completeness, licensing, insurance, and compliance requirements. Conducted driver and motor-vehicle audits, compiled Excel reports, and coordinated background and driving-record checks through a third-party vendor.

Pursuing a Bachelor of Science in Business Management with an expected graduation in 2026.