Ro Hi

Researches case issues, initiates actions to resolve payment problems and change fiduciary information, and guides claimants to appropriate benefits and social services resources to secure timely claim effective dates.

Responded to member and provider inquiries via phone and written correspondence, assisted with website navigation, and documented activities for quality and metrics reporting using CRM tools.

Initiated authorization requests, verified eligibility and benefits, and performed referral data entry from provider faxes/emails to ensure patients were cleared for specialty services.

Managed physician schedule tracking and reconciliations, trained new staff, supported peer reviews, and maintained client communications to improve departmental productivity and satisfaction.

Managed and promoted fitness programs, resolved member inquiries, maintained electronic databases, and coached staff to enhance client service and retention.

Inspected and assembled refrigeration units, operated press machinery, enforced quality control standards, and trained new employees to maintain production and safety standards.

Handled incoming customer calls about vehicle services and warranties, scheduled appointments, resolved billing issues, and processed payments while maintaining high customer service standards.

Managed front-office operations, assisted customers with utility payments, processed transactions, and resolved account and billing inquiries to ensure accurate payments and service.

High School Diploma from Ritenour High School in St. Louis, Missouri.