DIQUIERA WILLIAMS
Carlisle,PA
Summary
Professional service professional with focus on member satisfaction and seamless service delivery. Experience in addressing member needs and ensuring positive interaction experience. Known for strong collaboration skills and adaptability to changing requirements. Reliable in supporting team efforts and maintaining high service standards. Seasoned Claims Customer Service Representative with background in insurance claims processing and customer relations. Demonstrated skills in problem-solving, multi-tasking, and maintaining high levels of customer satisfaction. Proven ability to handle high-pressure situations, resolve conflicts, and deliver positive outcomes for customers. Previous roles have led to improved efficiency in claims handling processes and increased client retention rates.
Overview
8
8
years of professional experience
Work History
Patient Registration Associate
PennState Health
Enola, PA
01.2025 - Current
- Reviewed patient information and verified accuracy of demographic data in order to register patients.
- Maintained confidentiality of protected health information according to HIPAA guidelines.
- Generated forms related to registration process such as release of information forms and financial responsibility forms.
- Maintained current knowledge of healthcare industry trends, standards, and regulations.
- Entered all patient information into the registration system accurately and efficiently.
- Processed payments from patients and maintained accurate records of transactions.
Claims Customer Service Representative
Capital BlueCross
Harrisburg, PA
05.2023 - 07.2024
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns
- Provided consulting advice and recommendations in support of claims evaluation, investigation, and assessment for various claims-related departments.
- Arranged documents for insurance claims.
- Maintained high-quality service by adhering to company policies and standards in all member interactions
- Contacted third party payers regarding unpaid claims or denied claims for further investigation and resolution.
- Researched insurance claims issues.
- Gathered and analyzed information from customers, evaluated claim eligibility, and completed necessary paperwork for processing.
Customer Service Representative
Delta Dental of Pennsylvania
Mechanicsburg, PA
09.2019 - 04.2022
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Conducted research into dental terminology related to healthcare claims processing activities.
- Gathered and analyzed information from customers, evaluated claim eligibility, and completed necessary paperwork for processing.
- Advised customers on how to submit claims correctly according to policy terms and conditions.
Retention Customer Service Representative
Comcast
11.2016 - 09.2019
- Company Overview: Xfinity
- Provided knowledgeable recommendations for products or services that aligned with individual customer needs, boosting satisfaction levels significantly
- Answered customer telephone calls promptly to avoid on-hold wait times
- Fostered a positive work environment by contributing constructive input during meetings and participating in team-building activities
- Met or exceeded performance metrics regularly, demonstrating consistent dedication to providing exceptional service
- Xfinity
Education
High School Diploma -
Harrisburg High School - SciTech Campus
Harrisburg, PA06.2010
Skills
- Customer service
- Claims processing
- Document management
- Claims support
- Insurance terminology
- Eligibility determination
- Claims adjustment
- Policy requirements and eligibility
- Communication skills
Timeline
Patient Registration Associate
PennState Health
01.2025 - Current
Claims Customer Service Representative
Capital BlueCross
05.2023 - 07.2024
Customer Service Representative
Delta Dental of Pennsylvania
09.2019 - 04.2022
Retention Customer Service Representative
Comcast
11.2016 - 09.2019
High School Diploma -
Harrisburg High School - SciTech Campus
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