Customer Service Representative with a strong history of surpassing performance goals and achieving high customer satisfaction ratings. Expertise in customer coordination, communication, and problem resolution enhances positive customer experiences in both in-person and remote settings. Proficient in EPIC, Microsoft Office/Teams, Zendesk, Cardiff, and JET systems. Committed to leveraging skills to drive measurable improvements in customer service metrics.
• Led a team of 6 customer service representatives to achieve a 4.9 out of 5 customer satisfaction rating
within a five month period.
• Introduced a new way of effectively communicating with customers to my team to build rapport and
display Empathy.
• Assisted customers by providing guidance and resolving inquiries.
• Exceeded monthly sales targets by 15% through effective upselling techniques.
• Verified customer income eligibility and updated records accordingly.
• Examined data for errors, formatted, and updated the database.
• Utilized various computer applications for investigations and accessing information.
• Ensured transaction compliance with federal, state, and local regulations, adhering to company policies.
• Reduced inpatient denials by 20% through meticulous management and documentation reviews across multiple payers, resulting in improved reimbursement rates.
• Achieved a 51% success rate in overturning claims denials by verifying patient insurance eligibility and facilitating timely reviews, resulting in expedited claims.
• Managed inpatient denials and conducted documentation reviews across multiple payers.
• Coordinated provider-payer communications and managed projects to meet client expectations.
• Enhanced efficiency by organizing patients’ time-sensitive medical charts from most urgent to least,resulting in a 30% reduction in response time for urgent medical inquiries and treatments.
• Maximized resource allocation and project efficiency by collaborating with internal teams to set milestones and ensure deliverables met client specifications.
Texas All Lines Claims Adjuster License
January 2024
Received Texas All Lines Claims Adjuster License from Texas Licensing Company in Irving, TX
Med Certs
April 2024
Received certification in Professionalism in Allied Health
Med Certs
May 2024
Medical Terminology and the Human Body Fundamentals
Notary Public
National Notary Association
Issued Oct 2023 - Expires Oct 2027