CHINONSO ALOZIE
Molina Healthcare
Dallas,Texas
4
years of professional experience
Customer service professional with extensive experience in healthcare and insurance claims support, skilled in managing high-volume inbound calls and resolving complex billing inquiries. Proficient in CRM systems, HIPAA compliance, and electronic medical records, with a strong focus on accuracy and regulatory adherence.
Work History
Medicaid Customer Service Representative
2 Years 7 Months- Managed a high volume of inbound calls from patients, providers, and insurance companies concerning healthcare benefits and coverage
- Verified insurance eligibility and benefits for commercial, Medicare, and Medicaid plans
- Coordinated with providers and insurance companies, resolving customer concerns effectively
- Investigated customer accounts to resolve billing, payment, and claim-related inquiries
- Investigated customer accounts, resolving billing, payment, and claim-related inquiries efficiently
- Achieved productivity, quality, and customer satisfaction targets in a fast-paced remote environment
- Adhered to HIPAA guidelines to safeguard confidential patient information
- Conducted outbound calls to acquire missing information and provide timely updates on customer requests
Customer Service Representative
11 Months- Managed high-volume inbound calls from members, providers, and billing offices regarding claims, account inquiries, and payment status while meeting service-level goals.
- Verified claim status and clearly communicated claim processing details, billing procedures, and next steps to customers and providers.
- Initiated check reissues, stop-payment actions, and canceled checks as needed to resolve payment issues.
- Assisted providers with contract inquiries while ensuring accurate demographic and authorization data in internal systems.
- Escalated complex issues to appropriate departments, collaborating with cross-functional teams for timely resolution.
- Utilized multiple systems and CRMs simultaneously while maintaining high accuracy and productivity.
- Implemented feedback mechanisms to identify service gaps and contributed to continuous improvement initiatives
- Monitored compliance with regulatory requirements during customer communications, ensuring adherence to company standards and minimizing risk
Education
B.Tech - Soil Science and Agronomy
Skills
Claims Management
HIPAA Compliance
Customer support
CRM Systems
EMR management
Data Entry
Microsoft Excel
Microsoft Word
Microsoft Outlook
Multi-tasking proficiency
Problem Solving
Team Collaboration
Active Listening
Customer Education
Communication Skills
Timeline
Medicaid Customer Service Representative
Molina Healthcare
01.2024 - 08.2026Read More
Customer Service Representative
Willis Towers Watson
01.2023 - 12.2023Read More
Ladoke Akintola University of Technology
B.Tech from Soil Science and Agronomy
Read More