Mid-Level Healthcare Customer Service Specialist
Open to offersNew to PlatformJelofe Y. is a conscientious and patient-focused Customer Service Representative with over three years of experience supporting US-based healthcare accounts. Excelling in managing high-volume patient and provider inquiries, she specializes in insurance verification, claims assistance, benefits/eligibility issues, Coordination of Benefits, and enrollment management. At Optum Global Solutions, Jelofe handled 30–40 patient/provider calls daily, maintaining a 95% accuracy in eligibility verification while safeguarding sensitive patient data compliant with HIPAA. Her problem-solving skills led to a 75% reduction in issue resolution turnaround time by collaborating with providers and insurers. At Alorica, she managed Medicare Part D inquiries and appeals, enhancing patient satisfaction and minimizing repeat calls. Recognized for exceeding quality benchmarks and ensuring CMS compliance, Jelofe also provides empathetic support, improving operational efficiency across fast-paced healthcare environments. She holds certificates in HIPAA, fraud and abuse prevention, and Medicare & Retirement training.