Aundrea Brown
Lake City,SC
Summary
Dedicated and compassionate Healthcare Customer Service Representative with 6+ years of experience supporting patients, members, and healthcare customers. Skilled in handling high-volume calls, resolving billing and insurance questions, verifying patient information, scheduling appointments, and navigating confidential healthcare information. Known for professionalism, empathy, attention to detail, and the ability to communicate effectively with patients and healthcare teams.
Overview
6
6
years of professional experience
Work History
Healthcare Customer Service Representative
CVScaremark
Lake City
09.2024 - 03.2026
- Verified eligibility, benefits, and coverage details for patient inquiries.
- Assisted in checking the patient's insurance eligibility prior to their appointment.
- Resolved billing, claims, and authorization questions with clear guidance.
- Adhered to HIPAA regulations when handling confidential patient information.
- Updated patient files in accordance with company policy and procedure guidelines.
- Documented call notes and account updates in customer service systems.
Healthcare Customer Service Representative
EVERISE
Timmonsville, South Carolina
06.2022 - 09.2024
- Answered inbound member calls for Everise healthcare contact center.
- Verified eligibility, benefits, and coverage details for patient inquiries.
- Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
- Resolved billing, claims, and authorization questions with clear guidance.
- Documented call notes and account updates in customer service systems.
- Scheduled appointments and routed requests to appropriate healthcare departments.
- Escalated complex service issues using Everise call handling procedures.
Customer Service Representative
BCBS
Florence, South Carolina
01.2020 - 03.2022
- ● Assisted patients and healthcare members with questions regarding benefits, services, appointments, billing, and account information.● Handled a high volume of inbound calls while maintaining professionalism, accuracy, and compassion.● Verified patient and insurance information and updated account records as needed.● Explained healthcare policies, procedures, benefits, and available services in an easy-to-understand manner.● Documented customer interactions accurately in internal systems and maintained confidentiality in accordance with HIPAA requirements.● Resolved customer concerns efficiently and escalated complex issues to the appropriate department.● Worked collaboratively with healthcare providers, insurance representatives, and internal departments to resolve patient issues.
- Answered Blue Cross Blue Shield member inquiries about benefits, eligibility, and coverage.
- Reviewed claims details and explained plan information to callers.
- Documented customer interactions in CRM and call center systems.
Education
Lake City High School
Lake City, SCSkills
- Eligibility verification
- Benefits coordination
- Claims resolution
- Insurance authorizations
- Patient relations
- Healthcare billing
- Call center operations
- Appointment scheduling
- HIPAA compliance
- Problem solving
- Conflict resolution
- Record maintenance
- Call center experience
- Policy adherence
- Follow-up skills
- Patient eligibility verification
Timeline
Healthcare Customer Service Representative
CVScaremark
09.2024 - 03.2026
Healthcare Customer Service Representative
EVERISE
06.2022 - 09.2024
Customer Service Representative
BCBS
01.2020 - 03.2022
Lake City High School