
A detail-oriented customer service driven individual with over 10 years of experience. Passionate about building strong and lasting customer relationships. Proficient in written and oral communication. Seeking to gain additional knowledge and utilization skills.
Responded to inbound calls, resolving client inquiries and enhancing customer satisfaction. Scheduled benefit appointments. •Using interviewing skills to determine client's eligibility for social security Assisted Medicare beneficiaries with premium questions, ensuring clear understanding of benefits. Documented and processed death reports, maintaining accurate records for compliance and service continuity.
•Managed accounts receivable for denied or underpaid insurance claims, ensuring prompt resolution. Contacted insurance companies to initiate appeals or reconsiderations, advocating for claim approvals. •Verified insurance details by contacting patients and medical practices, ensuring accurate billing. •Handled incoming calls from patients to address inquiries and process payments. to take patient payments or answer patient questions
Managed billing processes for long-term care pharmacy department, ensuring accurate invoicing. •Responsible for entering patient insurance information to bill insurance Communicated with long-term care facilities to resolve reporting errors, enhancing data accuracy.
•Onsite representative for MD Anderson Cancer Treatment Center Managed insurance correspondence to ensure timely processing at MD Anderson Cancer Treatment Center. •Printed medical records and explanations of benefits using CMS 1500 forms for claim processing.
•Managed billing for long term care pharmacy department, ensuring accuracy and compliance. •Responsible for entering patient insurance Information to bill insurance •Communicated with long term care facilities to resolve reporting errors and enhance billing accuracy.
Reviewed explanations of benefits to identify reasons for denied medical claims. Contacted insurance representatives to dispute claim denials and advocate for resolution. Resubmitted claims for payment. Appealed denied claims to the medical director for review, aiming to secure proper payment.
Answered inbound customer service calls, addressing inquiries and reviewing account balances to ensure customer satisfaction. Answered questions about non-sufficient fund fees. Processed customer account cancellations, facilitating a smooth transition and maintaining accurate records. Verified available funds for customer transactions. Mentored new hires during onboarding and provided guidance.
Conducted patient interviews to gather detailed insights on eating patterns, informing tailored nutrition strategies. Developed and implemented nutrition care plans aligned with physician diet prescriptions, enhancing patient dietary adherence. •Instructed patients on dietary guidelines and their families concerning the diet plan and assist with proper implementation of the dietary plan provided
Customer service
Research and tracking
Database management
Customer eligibility assessment
Safety and security
Personnel Management
Microsoft applications
Security clearance Training and development
Customer service
Technical support
Administrative
Team collaboration
Customer engagement
Training and development
Personnel Management
Presentation and briefings
Safety and security
Security clearance