DeAsia Lewis
First Call Solutions
DESOTO,TX
1
Language
9
years of professional experience
Results-driven professional with over 6 years of experience in claims processing and eligibility determination. Known for exceptional attention to detail and multitasking abilities, contributing to reduced resolution times and increased customer satisfaction.
Work History
Claims Representative
3 Years 4 Months- Processed claims efficiently, ensuring timely resolution and customer satisfaction.
- Analyzed claim documentation for accuracy, reducing errors in processing.
- Coordinated with internal teams to resolve complex claim issues effectively.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
- Delivered personalized customer service, addressing policyholder concerns and clarifying coverage details.
- Reviewed and updated claim processing guidelines, ensuring alignment with industry standards.
- Reduced claim resolution times with thorough documentation and timely follow-up.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Eligibility Representative
5 Years 5 Months- Reviewed and processed eligibility applications for various programs, ensuring compliance with guidelines.
- Guided applicants through complex eligibility requirements, enhancing understanding and engagement.
- Collaborated with cross-functional teams to resolve discrepancies in eligibility determinations efficiently.
- 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.
- Maintained detailed records of customer interactions and transactions, ensuring accurate documentation and follow-up.
Education
High School Diploma
Skills
Claims processing
Eligibility determination
Insurance coverage verification
Prior authorization processing
Attention to detail
Data entry
Documentation skills
Customer service
Effective communication
Active listening
Multitasking
Teamwork skills
Relationship building
Professionalism
Languages
English
Full Professional
Timeline
Claims Representative
First Call Solutions
04.2023 - CurrentRead More
Eligibility Representative
Teleperformance USA
10.2017 - 03.2023Read More
Skyline High School
High School Diploma
Read More