Chantell Williams
Provider Services Representative
Arlington,TX
Summary
Accomplished Provider Services Representative at AmeriHealth Caritas, adept in healthcare industry knowledge and customer service, enhanced operational efficiency and customer satisfaction. Skilled in data entry and claims processing, demonstrated adaptability by streamlining provider communication and reducing claim denials, ensuring accuracy and compliance. Excelled in interpersonal skills, contributing to positive outcomes and improved provider relations.
Overview
12
12
years of professional experience
Work History
Provider Services Representative
AmeriHealth Caritas
06.2024 - Current
- Streamlined operations by managing high volume of incoming calls for medical providers seeking information or assistance.
- Improved communication between providers and insurance companies, leading to better understanding of policy coverage and claim status.
- Evaluated provider contracts for accuracy and completeness before submission to final approval process.
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
Senior Client Service Representative
Charles Schwab
12.2022 - 04.2024
- Maintained detailed records of client interactions, allowing for personalized follow-ups and targeted communications.
- Delivered consistent results under pressure by prioritizing tasks based on urgency and importance effectively managing workload.
- Enhanced customer satisfaction by promptly addressing and resolving client inquiries and concerns.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Mortgage Loan Processor
JPMorgan Chase
06.2021 - 05.2022
- Reviewed financial statements and contacted institutions and customers to clarify details.
- Contributed to the success of the mortgage team by providing essential support in all areas of loan documentation review, data entry, and client communication.
- Provided exceptional customer service while guiding borrowers through the entire loan process from pre-qualification to closing.
- Improved loan processing time by streamlining application review process and enhancing communication with clients.
Medical Coding Analyst
Accurate Connections Inc.
02.2018 - 03.2021
- Provided expertise during internal audits, helping identify areas of potential risk or noncompliance within medical coding process.
- Supported implementation of electronic health record system, assisting in the transition from paper to digital records for streamlined coding processes.
- Reduced claim denials by ensuring proper documentation and accurate code assignment in line with insurance guidelines.
- Demonstrated commitment to ethical practice through adherence to established guidelines for privacy, confidentiality, and security of patient information.
Senior Claims Processor
Allstate
10.2012 - 04.2018
- Maintained high levels of customer satisfaction with efficient communication and prompt resolution of issues.
- Ensured accuracy of financial transactions related to claim payments, minimizing discrepancies in company records.
- Maintained detailed documentation for each processed claim, allowing for easy retrieval during audits or reviews.
- Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Education
BBA - Business Management
Texas A&M University - Kingsville
Kingsville, TX 05.2001 -
Skills
Call center experience
Product Sales
Adaptability and Flexibility
Time management abilities
Microsoft Office
Customer Service
Medicare and Medicaid knowledge
Claims Processing
Data entry proficiency
Healthcare Industry Knowledge
Call center experience
Timeline
Provider Services Representative
AmeriHealth Caritas
06.2024 - Current
Senior Client Service Representative
Charles Schwab
12.2022 - 04.2024
Mortgage Loan Processor
JPMorgan Chase
06.2021 - 05.2022
Medical Coding Analyst
Accurate Connections Inc.
02.2018 - 03.2021
Senior Claims Processor
Allstate
10.2012 - 04.2018
BBA - Business Management
Texas A&M University - Kingsville
05.2001 -