Summary
Overview
Work History
Education
Skills
Awards
Affiliations
Timeline
Generic
Lydia-Kae Ochoa

Lydia-Kae Ochoa

Burtonsville

Summary

Dynamic Member Advocate Specialist with extensive health insurance knowledge and a proven track record at EHealth. Expert in navigating open enrollment and enhancing customer service through effective multi-channel communication. Compassionate Member Advocate known for high productivity and efficient task completion. Possess specialized skills in conflict resolution, member engagement, and policy advocacy. Excel in communication, empathy, and problem-solving to enhance member satisfaction and support organizational goals.

Overview

10
10
years of professional experience

Work History

Member Advocate Specialist

EHealth
Burtonsville
10.2020 - Current
  • Review Medicare beneficiaries' existing insurance plans.
  • Assisted members in navigating health plan options and benefits.
  • Educated members about available health resources and services.
  • Documented member interactions accurately in the system.
  • Provided support during open enrollment periods for members.
  • Demonstrating best practices for sales and customer service.
  • Monitored incoming calls and emails from members seeking assistance or advice.
  • Resolved member complaints efficiently and effectively.
  • Advised upper management on potential strategies for enhancing customer service.
  • Ensured compliance with industry regulations related to customer service.
  • Evaluated current processes to identify areas of improvement.

Billing Administrative Assistant

Advanced Healthcare Corp
Farmington
02.2020 - 10.2020
  • Investigated unpaid bills and identified potential issues that could delay payment processing.
  • Assisted in preparing financial reports for internal audits and reviews.
  • Collaborated with insurance companies to verify patient coverage and benefits.
  • Assisted with basic accounting functions by reconciling company credit card, petty cash, and expense reports.
  • Assisted with month-end closing activities including generating aging report summaries for review by management.
  • Monitored collection efforts on past due accounts ensuring prompt resolution of outstanding balances.

Accounts Receivable Patient Collections Specialist

Orbit Medical/Tibro
Salt Lake City
11.2015 - 02.2020
  • Maintained accurate records of collection activities for compliance purposes.
  • Followed up on overdue accounts through phone calls and written correspondence.
  • Maintained records of collection activities for each account, including contact attempts, payment arrangements and resolution status.
  • Received payment and posted to appropriate accounts.
  • Located and monitored overdue accounts using billing system to begin collections process.
  • Prepared documents for insurance for proper processing of claims

Education

Bachelor’s Degree - Health Administration System

Weber State University
Ogden, UT
01.2020

Associates Degree - General education

Weber State University
Ogden, UT
01.2017

Associates Degree - Medical Insurance Billing and Coding

Eagle Gate Collage
Salt Lake City, UT
01.2012

Skills

  • Health insurance knowledge
  • HIPAA compliance
  • Multi-channel communication
  • Open enrollment support
  • Attention to detail
  • Team collaboration
  • Policy coverage expert
  • Licensed insurance agent

Awards

Certificate in Quality & Safety from the Institute for Healthcare Improvement, FEMA and Emergency Management Institute Certified, Graduated Cum Laude (Eagle Gate), Internship Madigan Army Medical Center/Joint Base Lewis McChord

Affiliations

  • Volunteer leadership with Soldier and Family Readiness Group

Timeline

Member Advocate Specialist

EHealth
10.2020 - Current

Billing Administrative Assistant

Advanced Healthcare Corp
02.2020 - 10.2020

Accounts Receivable Patient Collections Specialist

Orbit Medical/Tibro
11.2015 - 02.2020

Bachelor’s Degree - Health Administration System

Weber State University

Associates Degree - General education

Weber State University

Associates Degree - Medical Insurance Billing and Coding

Eagle Gate Collage
Lydia-Kae Ochoa