CHANTAL WHITE
Columbus,GA
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adapt at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
Work History
Medical Claims Analyst
Aspirion Health Resources
Columbus, GA
05.2023 - Current
- Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims
- Investigate and coordinate insurance benefits for insurance claims across multiple service lines
- Obtain claim status via the telephone, internet, and/or fax
- Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment
- Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers
- Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned
- Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary
- Identify contractual and administrative adjustments
- Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility
- Follow established organization guidelines to perform job functions while staying abreast to changes in policies
- Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol
- Uphold confidentiality regarding protected health information and adhere to HIPPA regulation
- Interact with all levels of staff
- Cross train in multiple areas and perform all other duties as assigned by management
Customer Service Representative- Remote
Global Payments
Columbus, GA
02.2021 - 03.2023
- Responds to customer inquiries via telephone, email, SMS and Chat to provide problem resolution in accordance with the organization's service standards
- Receives and/or places telephone calls which are predominantly routine, but may require deviation from standard screens, scripts, and procedures
- Answer customer telephone inquiries, orders, service needs and complaints, respond where applicable or direct to technical/service areas
- Maintain detailed and current knowledge of the company's/assigned client's products and services
- Analyze customer service needs for communication to service and technical departments, when applicable
- Navigate a computerized data entry system or other relevant applications
- Resolves basic or tier 1 payment and account related requests to include but not limited to card activations, payments, name and address updates for card holders (customers) of 1-2 assigned company clients
- Provides standardized or scripted responses by utilizing basic user friendly
- Graphic User Interface (GUI) screens for client systems and established documentation and processes
- Enters required data into client provided systems and databases
Member and Provider Service Representative
Anthem
Midland, GA
08.2019 - 09.2020
- Cultivated strong value-added relationships with customers by delivering product knowledge to drive business development
- Tracked each interaction for auditing, reporting and training purposes\
- Greeted customers to facilitate services, determine service needs and accurately input orders into electronic systems
- Reviewed customer data to assess current issues and determine eligibility for potential solutions
- Reviewed account and service histories to identify trends and unaddressed issues
- Collected customer feedback and recommended procedural or product changes to enhance future service delivery
- Acted as intermediary between insurance companies and customers, including researching and assessing information to determine validity of claims
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions
- Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims
- Reconciles group and/or individual account premiums; reviews incoming group batches.
Customer Service Representative
TSYS
Columbus, GA
01.2017 - 08.2019
- Provided outstanding service to new and long-standing customers by a ending closely to concerns
- Work reports and databases using established policies and procedure
- Devised innovative and targeted solutions for each case to achieve mutually satisfactory resolutions
- Investigates potential credit card fraud cases based on information received from the fraud detection system
- Analyzes several aspects of account history, to include payment and transaction history
- Contacts customers and merchants to obtain additional information regarding fraudulent charges
- Maintains accurate and complete documentation of all information necessary for the investigation
- Answer customer telephone inquiries, orders, service needs and complaints, respond where applicable or direct to technical/service areas
- Requires ability to navigate a computerized data entry system or other relevant applications
- Escalated customer concerns, store issues and inventory requirements to supervisors
- Reviewed account and service histories to identify trends and issues
Product Support Representative
Masterbuilt
Columbus, GA
11.2016 - 02.2017
- Maintained revenue streams by exhausting every option before offering refunds on escalated calls
- Reviewed customer data to assess current issues and determine eligibility for potential solutions
- Informed customers on billing procedures, processed payments and provided assistance to set up payment options
- Follow up web support requests and emails to assist consumer with existing cases, shipments, orders
- Provide each customer with product technical support, case troubleshooting and resolution
- Conduct consumer live Chat sessions, as assigned, through active engagements and prompt uniform responses to aid and inform consumers
- Answers inquiries by clarifying desired information; researching, locating, and providing information
- Maintain in-depth product knowledge and troubleshooting techniques for new and existing products to supports consumer needs
- Reviewed account and service histories to identify trends and issues
- Consulted with customers to determine best methods to resolve service and billing issues
- Document all customer interactions, product/service case details, using company systems; entering descriptive information to provide history, tracking issue resolution and a aching all documentation to Consumer
- ERP record
- Informed customers about billing procedures, processed payments and provided payment option setup assistance
- Escalated customer concerns, store issues and inventory requirements to supervisors.
Customer Service Representative
TSYS
Columbus, GA
11.2014 - 07.2016
- Received inbound calls and assisted consumers and clients with questions regarding credit card and bank accounts
- Monitored consumer transactional records for unusual activity
- Investigated and resolved fraudulent charges on consumer accounts
- Provided information to leadership team regarding such accounts
- Assisted bank representatives to resolve holds and blocks that are placed on account
- Determined fraudulent trends by analyzing current transaction pa erns
- Inpu ed all information regarding fraud investigations into detailed reports that were submi ed to clients
- Notified customers when fraudulent activity was detected in an effort to reduce impact
- Completed required investigations on referred files in a timely manner
- Participated in group discussions with team members to brainstorm new ways to combat fraud.
Education
Phlebotomy -
Step One Health Agency
03.2019
High School Diploma -
Northside High School
01.2014
Skills
- Report creation
- Credit card payment processing
- Call center experience
- Techinical Support
- Store maintenance
- Clerical support
- Quality assurance controls
- Retail sales customer service
- Data evaluation
- Microsoft Office expertise
- Inbound and outbound calling
- Business development understanding
- Promotional support
- System implementation
- Senior leadership support
- Office equipment proficiency
- Process optimization
- Account information review
- Risk level determination
- Telephone and email etiquette
- Verbal and written communication
- Fraud and anomaly analysis
- Fraud patterns
- Reporting and alerts
- Communications
- Administrative support
- Call Center Operations
Timeline
Medical Claims Analyst
Aspirion Health Resources
05.2023 - Current
Customer Service Representative- Remote
Global Payments
02.2021 - 03.2023
Member and Provider Service Representative
Anthem
08.2019 - 09.2020
Customer Service Representative
TSYS
01.2017 - 08.2019
Product Support Representative
Masterbuilt
11.2016 - 02.2017
Customer Service Representative
TSYS
11.2014 - 07.2016
Phlebotomy -
Step One Health Agency
High School Diploma -
Northside High School
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