Chelsy Green
CONROE,TX
Summary
Dynamic healthcare professional with a proven track record at Hermann Memorial Hospital, excelling in customer service and HIPAA compliance. Skilled in claims processing and demonstrating empathy, effectively managed complex benefit laws and resolved customer issues, enhancing client satisfaction. Expertise in data entry and maintaining professionalism in fast-paced environments.
Overview
9
9
years of professional experience
Work History
Healthcare Customer Service Representative
Hermann Memorial Hospital
Houston, TX
01.2020 - Current
- Mastered state and Federal benefit laws Including ERISA, FMLA, COBRA, HIPPA and 401k administration.
- Communicated effectively via email, phone with plan participants to resolve issues pertaining to health and welfare benefits.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
ADJUSTER / CALL REPRESENTATIVE
Asurion
02.2019 - 03.2021
- Company Overview: Remote
- Answer calls assist customers with claim process
- Review / remove system holds or complete live review
- Accounts receivable, Verify insurance claims and determine a fair amount for settlement
- Carry out a detailed investigation into the claim leave notes
- Review identification
- Remote
UNEMPLOYMENT CLAIMS SPECIALIST
K Force
01.2016 - 12.2018
- Applied risk management principles when making decisions about coverage disputes or denials.
- Advised claimants on available benefits under their policy coverage.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Determined liability, compensability, and benefits due on each claim.
- Precisely calculated refunds, premiums, and adjustments.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
Education
Bachelor of Arts - Business Management
Lone Star College
Houston, TX01-2026
High School Diploma -
Vallejo Highschool
Vallejo, CA01-2013
Skills
- Customer Service
- Clinical Trials
- Phone Etiquette
- Data Entry
- Multi-line Phone Systems
- Fast paced environment
- Supervising experience
- Call center experience
- Claims processing
- Patient payment processing
- Empathy and patience
- HIPAA compliance
References
References available upon request.
Timeline
Healthcare Customer Service Representative
Hermann Memorial Hospital
01.2020 - Current
ADJUSTER / CALL REPRESENTATIVE
Asurion
02.2019 - 03.2021
UNEMPLOYMENT CLAIMS SPECIALIST
K Force
01.2016 - 12.2018
Bachelor of Arts - Business Management
Lone Star College
High School Diploma -
Vallejo Highschool
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