Customer service professional with proven track record in delivering high-quality interactions and resolving client concerns efficiently. Known for collaborative team efforts and adaptability in dynamic environments. Expertise in problem-solving and active listening fosters reliable support and customer satisfaction.
Overview
7
7
years of professional experience
Work History
Front Office Claims
Blue Cross Blue Shield
10.2021 - Current
Enhanced customer satisfaction by efficiently processing insurance claims and providing timely updates on claim status.
Assist members with any inquiries with filed claims or filing new claims, searching for a provider or facility in network, obtaining ID cards or updating profile information
Delivered exceptional results under tight deadlines, prioritizing tasks and managing time effectively to meet client expectations and company goals.
Supported continuous improvement initiatives by actively participating in training sessions and professional development opportunities related to claims management.
Developed strong relationships with clients, providing exceptional service throughout the entire claims process.
Customer Experience Representative
Banner Healthcare
12.2019 - 09.2021
First point of contact through inbound calls for patients with questions regarding their healthcare
Assist and direct patients needing nursing, scheduling, or triage needs
providing back office duties such as communicating with clinical teams to ensure patients needs are being met
Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
Eligibility Interviewer
State of Arizona Department of Economic Security
03.2018 - 12.2019
Maintained a high level of knowledge regarding program regulations, policies, and procedures to ensure accurate determination of eligibility.
Received inbound calls from Arizonians to determine if they qualify for state assistance
Contributed to team meetings by sharing insights from experience with various cases, fostering ongoing improvement within the department as a whole.
Increased client trust by maintaining strict confidentiality with sensitive personal information during interviews and throughout the application process.
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