A strong contributor always achieving high customer satisfaction for companies. Effective multitasker able to balance workload independently and as a team player with minimal supervision.
Provide customer service to patients verifying PHI, Insurance information
Outbound Call to Doctor’s offices and medical staff
Assessed additional needs Based on training progress collaborated with Management to meet requirements
Follow guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems (Epic, Cerner, Artiva, and collections management)
Intake Specialist
Blue Cross Blue Shield
09.2021 - 08.2023
Handles all claim and non-claim documents with a commitment of quality and timeliness
Prepared and processed incoming mail for further handling and manages basic data entry processes
Prepared documents by departmental processes to allow for coordination of benefits review customer Accounts inquiring about balances and payment arrangements
Place Outbound follow up calls to patients for escalations
Receive Inbound Calls regarding patient accounts
Access all systems using multi-screen
Document calls according to Guidelines and Quality assurance
Prepared claims and made informed decisions for priority claim processing to report daily information for data tracking
Team Lead
Conduent
06.2019 - 09.2021
Evaluated agent phone interactions with customers to identify best practices and areas in need of improvement
Conducted case audits to ensure proper logging and handling of customer interactions. Was responsible for 75-100 agents and performed a total of 10 monitors for every 3-week quarter
Facilitated and participated in biweekly calibration sessions as required by the client, the operations department, and quality management
Process One-time payments thru E-billing
Review customer Accounts inquiring about balances and payment arrangements
Place Outbound follow up calls to patients for escalations
Receive Inbound Calls regarding patient accounts
Access all systems using multi-screen
Document calls according to Guidelines and Quality assurance