Danielle Jarmon

● Serve as the primary point of contact for members regarding benefits inquiries, claims, and policy details.

● Worked with medical providers and insurance companies to clarify coverage and obtain necessary authorizations.

● Assisted patients in understanding their insurance benefits, coverage limits, and out-of-pocket costs.

● Provided clear and timely information to healthcare providers and patients regarding insurance coverage and authorization status.

● Utilized payer portals and conducted outbound calls to verify patient insurance eligibility, coverage, and benefits for medical services and procedures.

● Accurately entered and updated patient demographic and insurance information in the EMR system

● Assisted patients with billing inquiries, payment plans, and resolving denied claims.

● Assisted patients in understanding insurance benefits and prior authorization requirements for various medical procedures.

● Contacted providers to request necessary clinical documentation request.

● Provided status updates to patients and health care providers on the progress of their authorization request.

● Explain benefits details and out of pocket costs according to the members/clients plan.

● Handle inbound calls, emails and web form inquiries from patients, regarding appointments, billing and insurance coverage.

● Resolved complex issues involving member accounts, claims processing, and eligibility, ensuring prompt and effective solutions.

● Maintain accurate records of client interactions in CRM systems to track engagement.

● Collaborated with cross-functional teams, including technical support, claims, and sales, to resolve recurring issues and deliver seamless customer service experience.

●Document all customer inquiries, escalations, and follow-up actions in Zendesk, ensuring accurate tracking and resolution history.

● Address customer inquiries, concerns, and issues related to insurance claims.
● Communicate with customers via phone, email, chat, or other designated communication channel.
● Collaborating with other teams, such as technical support, claims, and sales.
● Assist customers in filing insurance claims for lost, stolen, or damaged devices.
● Guide customers through the claims process, collect required information, and provide updates
on claim status.

●Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.