Joulia Iretes

Deliver an exceptional client/member experience demonstrating AvMed's service standards and values

Responsible for serving as on-site liaison between the client(s) and AvMed

Provide backup ,and support to the Client Manager.

Assist in open enrollment meetings to familiarize existing/potential members with the benefit offered and procedures required.

Ensure timely and accurate resolution of client and member issues.

Monitor membership eligibility ,reconcile discrepancies,provide COBRA administration,perform audits as needed.

Provide forms and benefit packages to employees and group representative(s) upon request.

Participate in Wellness activities such as fairs,meetings,etc.

Provide products enhancement and development recommendations.

Submit reports as required.

Focus on achieving departmental and organizational objectives.

Perform additional duties and responsibilities as assigned by management.

• Handled incoming calls promptly and professionally, providing information or transferring calls as necessary.
• Handled cash, credit and debit card transactions accurately.
• Greeted customers in a friendly and professional manner, while providing excellent customer service.
• Database management and record-keeping.
• Greeted customers upon arrival and provided assistance with check-in.

• Obtained authorization for referrals and diagnostic testing using proper documentation.
• Adhered to HIPAA regulations when handling confidential patient information.
• Coordinated and processed patient referrals with precision, detail and accuracy.
• Facilitated communication between healthcare teams to streamline referral processes and improve outcomes.
• Manage referral database and records to ensure accuracy and compliance with regulatory standards.
• Demonstrated excellent interpersonal skills in liaising with physicians, patients, and insurance providers to guarantee efficient referral process.
• Scheduled patients, notifying of appointment date, time and location.
• Managed incoming calls regarding referrals in a professional manner while providing accurate information.
• Collaborated with clinical staff to ensure accurate documentation of patient information.

• Records data regarding patients calls.
• Calls physician, confirming if patient is assigned to their panel.
• Performs follow-up calls to patients/caregivers for customer satisfaction.
• Maintain confidentiality of patients’ medical information.
• Input patients visitation information on a timely.
• Performed other duties as assigned by office manager or administrator.

• Operated cash register and accurately processed payments, returns, and exchanges.
• Maintained cleanliness of the checkout area by cleaning counters, shelves and windows.
• Performed opening and closing procedures, such as counting cash register, restocking, and cleaning.