Chanterra Williams
Missouri City,TX
Summary
Accomplished Customer Service Representative with a proven track record, adept in HIPAA compliance and claims processing. Excelled in managing high-volume calls and enhancing customer satisfaction through expert resolution.
Overview
12
12
years of professional experience
Work History
Customer Service Representative
Newegg
Stafford, TX
08.2022 - Current
- Manage a large number of incoming calls, and chats from customers providing accurate information regarding product and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Processing claims, returns, and replacing electronic items.
Healthcare Customer Service Representative
Sutherland Global Inc.
Houston, TX
01.2019 - 07.2022
- Manage a high volume of inbound calls from Medicaid beneficiaries and healthcare providers.
- Maintained client confidentiality according to HIPAA regulations at all times.
- Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
- Review and process medical claims, and verify that the necessary CPT codes and ICD-10 codes are used for Medicaid authorization requests.
- Explain Medicaid benefits to beneficiaries, including covered services, copays, deductibles, and any restrictions.
Member Service Representative
Healthhelp
Houston, TX
08.2016 - 12.2018
- Managed a large volume of incoming calls from providers, insurance companies, and medical offices.
- Answer inquiries regarding diagnostic appointments, surgeries, and medical consultations, providing accurate information.
- Communicate with Humana directly to verify patients' benefits.
- Verifying providers are using the correct CPT codes and ICD-10 on all authorizations.
Accounts Payable Clerk
Houston Orthopedic & Spine
Houston, TX
02.2013 - 11.2018
- Maintained accounts payable files and records in an organized manner.
- Processed invoices and payments in accordance with company policies and procedures.
- Entered data into accounting system to maintain accurate financial records.
- Analyzed purchase orders, contracts, invoices, check requests and other documents related to the accounts payable cycle.
Education
High School Diploma -
Willowridge High School
Houston, TXSkills
- Claims processing
- HIPAA compliance
- Remote operations
- Chat support
- Time management
- Medical terminology
- Strong analytical and problem-solving skills
- Health care
- Customer service
- CRM
- Insurance verification
- Attention to detail
Timeline
Customer Service Representative
Newegg
08.2022 - Current
Healthcare Customer Service Representative
Sutherland Global Inc.
01.2019 - 07.2022
Member Service Representative
Healthhelp
08.2016 - 12.2018
Accounts Payable Clerk
Houston Orthopedic & Spine
02.2013 - 11.2018
High School Diploma -
Willowridge High School
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