
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Possesses versatile skills in project management, problem-solving, and collaboration. Brings fresh perspective and strong commitment to quality and success. Recognized for adaptability and proactive approach in delivering effective solutions.
Monitoring and processing documents.
Monitoring and completing task.
Verifying members Eligibility and benefits .
Initiating the authorization request for process.
Fax authorization to Provider. Assist with Authorization information
Assist calls from members and providers regarding eligibility, benefits and claims.
Review insurance policy to determine coverage
Prepare insurance claims forms or related documents and review the for completeness.
Keep records of customer interaction or transaction recording details of inquiries, complaints or comments as well as actions taken.
Determine changes for servies requested, collect deposits or payments or arrange billing.
Refer unresolved customer grievances.
Resolved customers' service or billing company by performing activities.