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Grayson Chapman
Medicare Interviewer
Summary
Highly accomplished Medicare Interviewer with over 10 years of experience in the healthcare industry. A proven track record of successfully interviewing over 10,000 Medicare beneficiaries to determine eligibility for Medicare coverage and benefits, exceeding national performance standards. Expertise in conducting thorough medical and financial reviews to determine the appropriate level of Medicare coverage and benefits for beneficiaries. Strong communication and interpersonal skills, with a deep understanding of Medicare policy and regulations.
Education
Health Administration
July 2016
Skills
- Medicare Policy Knowledge
- Data Entry
- Interviewing Techniques
- Communication Skills
- Problem-solving
- Quality Assurance
Work Experience
Medicare Interviewer
- Provided comprehensive explanations of Medicare benefits and coverage options to over 1,000 beneficiaries, empowering them to make informed decisions about their healthcare.
- Identified and resolved over 500 discrepancies in Medicare claims, ensuring accurate payment and reducing financial burden on beneficiaries.
- Collaborated with medical professionals and social workers to provide holistic care coordination for over 1,000 beneficiaries.
- Developed and implemented training materials for new Medicare interviewers, ensuring consistent and effective execution of interview protocols.
Medicare Interviewer
- Interviewed over 10,000 Medicare beneficiaries to determine eligibility for Medicare coverage and benefits, exceeding national performance standards.
- Successfully screened over 5,000 Medicare beneficiaries, gathering demographic, medical, and financial information to assess their eligibility for Medicare benefits.
- Conducted thorough medical and financial reviews to determine the appropriate level of Medicare coverage and benefits for over 3,000 beneficiaries.
- Accurately processed over 2,000 Medicare applications, ensuring timely and efficient enrollment for beneficiaries.
Accomplishments
- Successfully conducted over 1,000 interviews, resulting in a 98% completion rate
- Developed and implemented a training program for new interviewers, leading to a 25% reduction in onboarding time
- Regularly exceeded performance targets for beneficiary enrollment, consistently meeting or exceeding 120% of goals
- Collaborated with community organizations to host outreach events, resulting in a 15% increase in beneficiary enrollment in underserved areas
- Mentored junior interviewers, providing guidance and support to improve their performance
Awards
- Medicare Recognition Award for Exceptional Performance in Beneficiary Outreach
- CMS Team Award for Excellence in Medicare Enrollment Assistance
- National Medicare Interviewer of the Year
- Medicare Excellence Award for Outstanding Service to Seniors
Certificates
- Certified Medicare Interviewer (CMI)
- Health Insurance Portability and Accountability Act (HIPAA) Certification
- Certified Health Insurance Counselor (CHIC)
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How To Write Resume For Medicare Interviewer
- Highlight your experience in Medicare policy and regulations.
- Demonstrate your strong communication and interpersonal skills.
- Showcase your ability to work independently and as part of a team.
- Emphasize your commitment to providing excellent customer service.
Essential Experience Highlights for a Strong Medicare Interviewer Resume
- Interview Medicare beneficiaries to determine their eligibility for Medicare coverage and benefits.
- Gather and assess demographic, medical, and financial information to determine eligibility for Medicare benefits.
- Conduct thorough medical and financial reviews to determine the appropriate level of Medicare coverage and benefits for beneficiaries.
- Process Medicare applications to ensure timely and efficient enrollment for beneficiaries.
- Provide comprehensive explanations of Medicare benefits and coverage options to beneficiaries.
- Identify and resolve discrepancies in Medicare claims to ensure accurate payment and reduce financial burden on beneficiaries.
- Collaborate with medical professionals and social workers to provide holistic care coordination for beneficiaries.
Frequently Asked Questions (FAQ’s) For Medicare Interviewer
What are the educational requirements for a Medicare Interviewer?
A high school diploma or equivalent is typically required. However, some employers may prefer candidates with a bachelor’s degree in health administration, social work, or a related field.
What are the key skills and qualities of a successful Medicare Interviewer?
Strong communication and interpersonal skills, a deep understanding of Medicare policy and regulations, the ability to work independently and as part of a team, and a commitment to providing excellent customer service.
What is the job outlook for Medicare Interviewers?
The job outlook for Medicare Interviewers is expected to be good over the next few years. As the population ages, the demand for Medicare services is expected to increase, which will lead to a need for more Medicare Interviewers.
What is the average salary for a Medicare Interviewer?
The average salary for a Medicare Interviewer is around $50,000 per year.
What are the career advancement opportunities for Medicare Interviewers?
Medicare Interviewers can advance to positions such as Medicare Case Manager, Medicare Policy Analyst, or Medicare Program Manager.
What are the benefits of working as a Medicare Interviewer?
Medicare Interviewers enjoy a variety of benefits, including health insurance, dental insurance, vision insurance, paid time off, and a retirement plan.