Britthany Simmons
Houston,TX
Summary
Healthcare customer service professional with 4+ years of experience resolving billing, benefits, and account questions. Known for accuracy, conflict resolution, and clear communication while supporting confidential member issues.
Overview
7
7
years of professional experience
Work History
Healthcare Customer Service Representative
Conduent
Houston, Texas
12.2024 - 10.2026
- Assisted members with health insurance questions, billing concerns, and account inquiries.
- Explained insurance benefits and payment responsibilities, aiding members in understanding their coverage.
- Investigated payment discrepancies and resolved billing-related concerns to ensure member satisfaction.
- Reviewed member account information and insurance documentation for accuracy.
- Handled high-volume inbound calls while maintaining customer satisfaction and productivity standards.
- Coordinated with insurance representatives and internal departments to effectively resolve account issues.
- Protected confidential personal and healthcare information in accordance with privacy guidelines.
Member care agent
Salelytics
Houston, Texas
10.2022 - 11.2024
- Provided professional and quality service in response to inbound customer calls, ensuring positive member experiences.
- Assisted members in resolving account questions and service inquiries, enhancing member satisfaction.
- Reviewed member accounts and resolved billing and payment questions.
- Carefully reviewed account details, demonstrating strong attention to detail to uphold accuracy and member trust.
- Recorded customer interactions and account changes accurately.
- Protected confidential member data and followed privacy procedures.
- Managed multiple customer requests while meeting performance expectations.
- Sent complex account issues to appropriate departments.
Correctional officer 3
Texas department of Criminal justice
Huntsville, Texas
06.2019 - 09.2022
- De-escalated difficult situations using effective communication.
- Maintained detailed incident reports and daily documentation to ensure compliance and facilitate effective communication.
- Managed and safeguarded confidential and sensitive personal information, upholding privacy standards.
- Followed strict policies, procedures, and compliance requirements.
- Communicated professionally with individuals from diverse backgrounds.
- Maintained accurate records and completed required reports to support operational integrity and accountability.
- Demonstrated strong attention to detail and accountability.
- Handled various tasks efficiently in a fast-paced work environment. in a structured, fast-paced environment.
Education
Bachelor of Science - Forensic Science
American Incontinental University
Houston, TX07-2023
Skills
- Claims analysis
- EOB analysis
- Insurance validation
- Multi-insurance billing
- Layered billing
- Payment Posting: Knowledge of recording payments, reviewing account balances, and identifying payment discrepancies
- Revenue management
- Insurance complexities
- HIPAA Compliance: Protecting confidential patient information and maintaining privacy
- Microsoft Office: Microsoft Excel, Word, Outlook, and Teams
- Task prioritization
- Customer support
Timeline
Healthcare Customer Service Representative
Conduent
12.2024 - 10.2026
Member care agent
Salelytics
10.2022 - 11.2024
Correctional officer 3
Texas department of Criminal justice
06.2019 - 09.2022
Bachelor of Science - Forensic Science
American Incontinental University