DEON ROSS
Worcester
Summary
Detail-oriented healthcare operations professional with 8+ years of experience supporting healthcare administration, enrollment operations, customer service, documentation review, and regulatory compliance. Extensive experience handling confidential information, researching complex cases, resolving escalated issues, and coordinating with multiple departments to support operational goals. Recognized for strong organizational skills, accuracy, workflow management, and the ability to maintain service excellence in fast-paced healthcare environments.
Overview
10
10
years of professional experience
Work History
Enrollment Specialist
Point32Health
05.2022 - Current
- Process complex enrollment transactions while maintaining compliance with Medicare, Medicaid, and organizational requirements.
- Research and resolve member eligibility, enrollment, and benefits issues through collaboration with internal and external stakeholders.
- Review and maintain confidential member records while ensuring data integrity and regulatory compliance.
- Assist with training and support of team members on operational workflows and departmental procedures.
- Prioritize competing deadlines while maintaining accuracy, productivity, and service standards.
- Investigate discrepancies and coordinate resolutions to support timely member outcomes.
Medicare Member Representative
Point32Health
04.2020 - 05.2022
- Served as a primary point of contact for Medicare members regarding benefits, claims, eligibility, appeals, and enrollment questions.
- Researched complex member concerns and coordinated with internal departments to facilitate resolution.
- Maintained detailed documentation of member interactions and actions taken.
- Educated members regarding healthcare benefits, coverage requirements, and available resources.
Healthcare Billing & Collections Specialist
ROI Healthcare Solutions (Cognizant)
07.2019 - 04.2020
- Reviewed patient accounts and billing documentation to identify and resolve discrepancies.
- Communicated with patients, providers, and insurance carriers regarding account status and payment resolution.
- Maintained accurate records while adhering to healthcare privacy standards and organizational requirements.
Pharmacy Technician
CVS Pharmacy
04.2018 - 07.2019
- Assisted patients with prescription processing, insurance issues, and medication-related inquiries.
- Maintained HIPAA compliance while handling protected health information.
- Coordinated with pharmacists, providers, and insurance companies to support patient care needs.
Business Office Data Entry Specialist
TransCore
06.2016 - 04.2018
- Performed high-volume data entry and record maintenance with a strong focus on accuracy and efficiency.
- Reviewed documentation and routed information to appropriate departments for processing.
- Utilized Excel and proprietary software to track records, testing results, and operational data.
- Identified and reported data discrepancies to support quality assurance initiatives.
- Collaborated across departments to support operational workflows and customer service objectives.
Fulfillment Associate (Part-Time)
Amazon
10.2024 - Current
- Maintain accuracy, efficiency, and attention to detail while working within time-sensitive operational deadlines.
- Demonstrate adaptability, reliability, and strong organizational skills while balancing multiple professional responsibilities.
Education
Bachelor of Arts - General Studies, Business Administration Concentration
Southern New Hampshire University
Manchester, New Hampshire05.2026
Associate of Science - General Studies
Quinsigamond Community College
Worcester, MA05.2017
Skills
- Healthcare Operations
- Workflow Coordination
- Case Management Support
- HIPAA Compliance
- Documentation Review
- Customer Service Escalation
- Medicare & Medicaid Knowledge
- Regulatory Compliance
- Data Analysis & Accuracy
- Training & Peer Support
- Microsoft Office Suite
- Cross-Functional Collaboration
- Records Management
- Process Improvement
Timeline
Fulfillment Associate (Part-Time)
Amazon
10.2024 - Current
Enrollment Specialist
Point32Health
05.2022 - Current
Medicare Member Representative
Point32Health
04.2020 - 05.2022
Healthcare Billing & Collections Specialist
ROI Healthcare Solutions (Cognizant)
07.2019 - 04.2020
Pharmacy Technician
CVS Pharmacy
04.2018 - 07.2019
Business Office Data Entry Specialist
TransCore
06.2016 - 04.2018
Bachelor of Arts - General Studies, Business Administration Concentration
Southern New Hampshire University
Associate of Science - General Studies
Quinsigamond Community College