Communicative customer service professional motivated to maintain customer satisfaction and contribute to company success. History managing large amounts of inbound calls and sustaining satisfactory relationships with customers.
Overview
7
7
years of professional experience
Work History
Medical Billing Consultant
ABLM
Sacramento, California
09.2021 - Current
Applied HIPAA privacy and security regulations while handling patient information.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Preform full investigation of claims, using verious assets and tools to get a full storyline from the initial registion to the denial or payment of the claim.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Filed appeals and sent reconsideration letters when I have a dispute or dis agreement with the final determination of a claim.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Filed and submitted insurance claims.
Responded quickly to questions and inquiries via phone and email.
Answered phone calls, responding to basic questions regarding appointments and clinic operations and directing calls within clinic as appropriate.
Process Assistant
Amazon fulfillment center
Sacramento, california
10.2017 - 09.2021
Responded to advanced issues with professional and relationship-focused approach.
Trained staff members to implement and maintain approved and established process improvements in assigned functional areas.
Lead special projects upon request from department manager.
Developed process upgrades to improve production rates and reduce costs.
Advised on business operations and risk mitigation strategies.
Documented time- and cost-related solutions for production assembly problems.
Kept meticulous reports and documentation detailing daily processing activities, updated logs and submitted timely reports for supervisor review.
Advised and assisted specific staff members to support understanding of changes and implementation of streamlined processes.
Documented process issues and recommendations and developed 15 - 20 new standard operating procedures to capture improved processes.
Coached and trained production leads on general process concepts and how to identify potential improvements without assistance.