Proven track record in enhancing customer satisfaction and loyalty, demonstrated at Blue Cross and Blue Shield through critical thinking and effective complaint handling. Expert in CRM software, I significantly improved client relations by prioritizing active listening and problem-solving, achieving a notable increase in repeat business.
Review medical records including examining medical treatments and interventions to avoid payment denial and optimizing reimbursements.
Ensure the patient receives the best care while determining what level of treatment is necessary.
Collaborate with other nurses, physicians, and health care providers while searching for essential information to confirm the patient’s insurer authorizes services.
Work with insurance companies to provide preauthorization information. Ensure appropriate reimbursement is received, and the company or patient isn't stuck with unnecessary payments.