CHIQUANTA HIGGINS

• Answer phone calls and emails, greeting patients and prospective patients.
• Developed strong relationships with clients to enhance customer satisfaction.

• Maintained accurate records of customer interactions using CRM software.

• Answered customer questions and responded quickly to problems and complaints in person, on the phone and by email.

• Managed time effectively to ensure tasks were completed on schedule and deadlines were met.

• Prioritized and organized tasks to efficiently accomplish service goals.

• Utilized various software and tools to streamline processes and optimize performance.

• Reviewed insurance policies to determine applicable coverage using established criteria. • Verified billing/claims information accuracy and corrected errors prior to submission. • Determined payment outcomes or denials based on documented claims-processing criteria.
• Maintained knowledge of HIPAA, medical terminology, and billing standards to support compliant processing. Used claims management systems to ensure accurate processing and reliable recordkeeping.
• Processed insurance claims and reviewed supporting documents for accuracy

• Handled customer service inquiries via telephone, and written correspondence with prompt, accurate resolution.
• Educated members on benefits, plan resources, and self-service tools to improve outcomes.
• Documented all members' interactions and outcomes accurately in designated systems.
• Collaborated with internal teams to resolve service issues and improve customer experience.
• Schedule diagnostic and/or therapeutic procedures for all surgical patients and visits with medical personnel via phone.
• Handled high-volume calls while maintaining professionalism and empathy toward clients.
• Scheduled patient appointments using electronic health record systems. Processed incoming referrals for new patients, verifying insurance information and scheduling appointments accordingly.
• Coordinated appointments with customers and staff members according to availability.
• Reviewed insurance information with patients and processed copays.
• Performed clerical tasks such as filing paperwork, entering data into computer systems and managing electronic health records