Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
8
8
years of professional experience
Work History
Data Analyst
Firstsource (Excellus OE-Contractual)
, REMOTE
09.2022 - Current
Retained strong medical terminology understanding to better comprehend procedures in the field of Medicare/Medicaid.
Processed Open enrollment applications while using systems SDS, Wipro, and Marx to complete applications while using DLP's
Maintained a 100% audit score for all processed items in setting up EFT for members' banking, Applications, ABBYY, Return Mail, and Adding PCP per Report via spreadsheet
Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Determintation Support Specialist
GT Independence Remote
07.2021 - 04.2022
Ensure all compliance standards are met for audit purposes
Accurately and efficiently complete payroll checklists for assigned agencies
Resolve any discrepancies
that may exist in the document along with time-sheet reviewing, time tracking, proofing&posting,
disbursement and reviewing overlap and overtime reports
Work with team leader to identify strategies for reducing errors that appear on the weekly OAR report
Collaborate with the staff to resolve rejected time-sheet issues and reduce out-of-cycle payroll
disbursements
Completes administrative tasks such as filing, copying, data entry, and Maintained confidentiality of
records relating to clients.
Claims Customer Service Representative
Live Ops Inc
01.2016 - 06.2021
Handled 50+ customer interactions per day giving detailed, Personalized, friendly, Polite service to ensure
the customer retention and satisfaction
Analyze claims to determine extent of company's liability, make approval or denial decisions and negotiate
settlements with claimants in accordance with policy provisions
Collaborate with insurance agents and
interview claimants to correct errors, rectify omissions and investigate questionable issues
Selected by supervisor to assist with file closures; resolve complex claims-processing issues; participate in
quality-control audits; and monitor status updates
Maintained a superior quality rating of 90% in file handling and claims resolution, exceeding the 85%
departmental goal.
Billing Specialist
Genpact
Wilkes-Barre
05.2019 - 02.2020
Issue and post bills,receipts,and invoices, assisting clients with any invoicing questions
Process bills using the company's proprietary billing software and reconcile billings with the AR ledger,
creating invoices and reviewing calculations on billing statements
Process incoming payments,verifying authenticity balance accounts
Evaluated billing process to develop and implement modified techniques to maximize bill processing,
increasing overall efficiency by 15%
Improved AR performance by 12% by reminding clients of upcoming payments deadlines and recording
deadlines and recording essential data in the database.
Customer Service Representative
TABCOM Mountain Top
01.2017 - 05.2019
Exceeded sales target by 20% by maintaining advanced products and services knowledge and quickly
assessing customer needs
Promptly handled an average of 80 customer support calls and addressed concerns about faculties,product
mishaps,offers, and other billing per day with a 95% customer satisfaction rate
Monitored and recorded top customers grievances with details about frequency and seriousness using
Excel sheet
Developed effective strategies to market consumers' goods and service