Christy Nelson
Browns Summit,NC
Summary
Accomplished Provider Services Representative with a proven track record at United Healthcare, adept in Medicare and Medicaid, and HIPAA compliance. Expert in enhancing customer satisfaction and streamlining claims processing, showcasing exceptional multitasking abilities and attention to detail. Successfully managed high-volume calls, significantly improving provider relations and operational efficiency.
Overview
16
16
years of professional experience
Work History
Provider Services Representative
United Healthcare
12.2020 - Current
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Acted as a liaison between providers and company leadership, effectively communicating concerns and feedback to facilitate continuous improvement initiatives.
- Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
- Collected, arranged, and input information into database system.
Customer Service Representative
AT&T Mobility
02.2009 - 11.2020
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
Education
Diploma - General Studies
Reidsville Senior High School
Reidsville, NC06.1998
Skills
- Medicare and Medicaid knowledge
- HIPAA Compliance
- Healthcare Industry Knowledge
- Claims Processing
- Call center experience
- Insurance Verification
- Data entry proficiency
- Attention to Detail
- Multitasking Abilities
Timeline
Provider Services Representative
United Healthcare
12.2020 - Current
Customer Service Representative
AT&T Mobility
02.2009 - 11.2020
Diploma - General Studies
Reidsville Senior High School
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