resume clement p wilson resume final (4)

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Page 1: Resume Clement P Wilson Resume Final (4)

CLEMENT P. WILSON

Yonkers, New York 10701 347.446.8518 clementpwilson@gmai l .com ______________________________________________________________________________________________PROFILE_________________________________________________________________________________

Enrollment Specialist with over ten years of experience with a Health Management Organization and over Twenty years in-depth understanding of sales cycles, focused on customer satisfaction through all stages of the salesprocess. Energetic, resolution oriented, and customer satisfaction centered. Promoted through five departments withinthe same company during my tenure. Demonstrated the ability to take on new and increased responsibilities whileensuring profitability and growth. Interested in utilizing my customer service and relationship building skills to transitioninto a healthcare opportunity. Volunteer Fire Marshall stimulated by my training as a Police Officer with an instinct to help people. Proficient in Microsoft Office.______________________________________________________________________________________________

Highlights: Fortune 500 company (Tyco/ADT) sales background. Experience in all stages of Medicaid sales, processing front and back-end. Quality Control, Quality Assurance, Reconciliation and Audit Process.

PROFESSIONAL EXPERIENCE

United Health Community Plan, Bronx NY Medicaid Sales Representative 11/2012-9/2014

Conducted cold calls, street and business-to-business marketing in NYC and Westchester Counties cold calling, networking, and referrals and met monthly goal of 60 members.

Provided outreach for Medicaid eligible clients, Family Health Plus, Child Health Plus and Re-certifications. Enrolled Medicaid, Family Health Plus, Child Health Plus and recertified clients. Managed charge duties for twenty representatives.

Affinity Health Plan, Enrollment Specialist 11/2005-6/2012

Enrollment Specialist responsible for quality inspection of applications and documents processed by fifteen enrollment representatives.

Resolved errors from The State in The Reconciliation Unit of Membership Accounting and recovered monies. Distributed leads to field representatives and followed-up for review and processing. Interfaced with compliance to ensure regulations were met. Expedited processing of application to meet deadline for monthly eligibility. Applied payments to accounts to maintain clients’ eligibility. Quality inspection of over twelve hundred processed applications on a monthly basis to be migrated to NYS

ensuring 100% quality was met. Collaborated with management and led compliance to policies and procedures in the department. Monitored the corporate office to ascertain compliance with HIPAA regulations.

Cablevision Systems, Brooklyn NY Field Sale Territory Representative 6/1995-11/2005

Territory Sales Representative for Crown Heights area, canvassed door-to- door and businesses in various weather conditions to sell internet, cable and phone services and consistently met goal of twenty thousand dollars estimated revenue monthly.

Assisted supervisor in checking applications for cable service.

EDUCATION

City University of New York, Bronx Business Administration/Marketing Continuing Education Jobs Waiting Program of Westchester