Destiny Gardner
West Point,MS
Summary
Dynamic customer service professional with extensive experience at CareCentrix and SYKES, excelling in healthcare and insurance support. Proven ability to educate clients on complex policies while ensuring compliance and confidentiality. Skilled in documentation and communication, consistently resolving issues and enhancing patient satisfaction through effective problem-solving and compassionate care.
Overview
2
2
years of professional experience
Work History
Insurance Customer Service Representative
SYKES
09.2024 - Current
- Provided remote support to policy holders regarding insurance coverage, claims, billing, renewals, and account updates.
- Assisted customers with understanding policy terms, coverage options, and claim procedures, ensuring clear and accurate communication.
- Processed policy changes, endorsements, cancellation, and reinstatements in compliance with company and regulatory guidelines.
- Investigated and resolved customer concerns by coordinating with adjusters, underwriters, and third-party vendor.
- Educate
Healthcare Customer Service (Remote)
CareCentrix
06.2023 - 07.2024
- Delivered compassionate and professional support to members, providers, and caregivers regarding healthcare benefits, claims, authorization and eligibility.
- Assisted patients with understanding medical procedures, insurance coverage, and providers networks, ensuring clear communication of complex healthcare terms.
- Handled high-call volume inbound and outbound calls while maintaining accuracy, HIPPA compliance, and strong attention to confidentiality.
- Processed requests for ID cards, claim status updates, referrals and appointment scheduling to streamline patient access to care.
- Documented all interactions in CRM and healthcare managements systems to support continuity of care and compliance with organizational policies.
- Coordinated with nurses, physician, and insurance representatives to resolve escalated member issues and provide timely solutions.
- Educated members on available health programs, preventive service, and cost-effective care options to improve patient outcomes and satisfaction.
Education
High School Diploma -
West Point High School
West Point MS05-2023
Skills
- Healthcare
- Medical
- Billing
- Medical technology
- Educate
- Insurance
- Communication
- Documentation
- Data Entry
- Scheduling
- Pharmacy
- Medication
- Payment
- Customer Service
Timeline
Insurance Customer Service Representative
SYKES
09.2024 - Current
Healthcare Customer Service (Remote)
CareCentrix
06.2023 - 07.2024
High School Diploma -
West Point High School