Brianna Arocha
Leander
Summary
Dynamic Provider Services Representative with a proven track record at MCNA, excelling in claims processing and fostering strong provider relationships. Adept at resolving complex inquiries with a goal-oriented mindset, ensuring compliance with HIPAA regulations while maintaining exceptional communication and attention to detail. Committed to enhancing service delivery and customer satisfaction.
Overview
4
4
years of professional experience
Work History
Provider Services Representative
MCNA
04.2023 - Current
- Managed provider inquiries, ensuring timely and accurate resolution of issues.
- Coordinated communication between providers and internal departments to enhance service delivery.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
- Promoted positive relationships between the organization and its network providers through timely responses to inquiries and effective issue resolution.
- Maintained up-to-date knowledge on company products, services, and industry trends to provide accurate information to providers.
Customer Service Representative
MCNA
11.2021 - 04.2023
- Assisted customers with policy inquiries and claims processing.
- Resolved customer issues efficiently, ensuring high satisfaction levels.
- Educated clients on coverage options and benefits available.
- Handled high-volume calls, maintaining professional communication standards.
- Developed knowledge of insurance products and regulatory compliance.
- Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
- Responded to customer requests for products, services, and company information.
- Handled sensitive customer information with discretion, adhering to strict data privacy regulations at all times.
Education
Associate of Arts - Marine Biology
San Antonio College
San Antonio, TXSkills
- HIPAA compliance
- Claims processing
- Goal-oriented mindset
- Call center experience
- Strong interpersonal skills
- Teamwork
- Policy interpretation
- Time management
- Attention to detail
- Multitasking Abilities
- Calm and professional under pressure
- Excellent communication
Timeline
Provider Services Representative
MCNA
04.2023 - Current
Customer Service Representative
MCNA
11.2021 - 04.2023
Associate of Arts - Marine Biology
San Antonio College
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