Aleia Belonga
New Orleans,LA
Summary
Dedicated Provider Service Advocate with strong expertise in customer service and complex problem-solving. Proven ability to improve communication processes and resolve service issues efficiently.
Detail-oriented Provider Service Advocate with a proven track record in resolving multifaceted issues in a fast-paced environment. Strong collaborator with exceptional problem-solving skills, committed to enhancing provider experiences and promoting self-service digital tools.
Overview
5
5
years of professional experience
Work History
Provider Service Advocate
UnitedHealth Group
07.2021 - Current
- Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues
- Service Providers in a multi-channel environment including call, dual chats, and email as required.
- Quickly and appropriately, contacts from healthcare professionals (i.e. physician offices, clinics, billing offices)
- Seek to understand and identify the needs of the provider, answering questions and resolving issues (e.g. benefits and eligibility, billing and payments, clinical authorizations, explanation of benefits, behavioral health)
- Research and dissect complex prior authorization and claim issues and take appropriate steps to resolve identified issues to avoid repeat calls/messages, escalations, and provider dissatisfaction
- Collaborate effectively with multiple internal partners to ensure issues are resolved and thoroughly communicated to providers in a timely manner
- Strong multitasking to effectively and efficiently navigate more than 30 systems to extract necessary information to resolve and avoid issues across multiple lines of business ( M&R, E&I) provider types, and call types
- Influence providers to utilize self-service digital tools assisting with navigation questions and selling the benefits of the tool including aiding in faster resolution
Education
Bachelor of Science - Human Resources Management
DeVry University
Lisle, IL03-2028
Real Estate Agent - Real Estate
Colibri Real Estate
St Louis, MO05-2026
High School Diploma -
El Camino
Oceanside, CA06-2009
Skills
- Decision-making skills
- Customer service background
- Assertiveness
- Call handling
- Teamwork and collaboration
- Problem-solving skills
- Multitasking
- Reliability
- Adaptability and flexibility
- Effective communication
- Call center experience
- Product knowledge
- Task prioritization
- Medical terminology
Timeline
Provider Service Advocate
UnitedHealth Group
07.2021 - Current
Bachelor of Science - Human Resources Management
DeVry University
Real Estate Agent - Real Estate
Colibri Real Estate
High School Diploma -
El Camino