D'Iveon Hughes
Channelview,TX
Summary
Achieved high levels of patient satisfaction through effective appointment management and responsive complaint resolution. Mitigated financial risks by optimizing scheduling processes for healthcare providers. Delivered exceptional customer service in demanding circumstances.
Overview
8
8
years of professional experience
Work History
Customer Service Representative
Conduent
07.2024 - Current
- Provided patients with detailed information on their health benefits.
- Contacted healthcare providers to coordinate and schedule member appointments.
- Assisted patients with inquiries regarding coverage, eligibility, and provider network options.
Billing Specialist
Getix Health
08.2023 - 07.2024
- Managed patient billing and account inquiries, ensuring accurate claim submissions and payment postings.
- Verified insurance coverage and obtained necessary authorizations to prevent claim denials.
- Communicated with patients regarding account balances, payment plans, and insurance benefits.
- Assisted healthcare providers in managing patient care by coordinating appointments, referrals, laboratory tests, and medical records.
- Greeted patients upon arrival and maintained a clean reception area for visitors.
- Verified insurance coverage for all visits to ensure accurate billing procedures were followed.
Patient Care Advocate
VXI Global Solutions LLC
09.2022 - 08.2023
- Developed and implemented dispute resolution strategies to resolve customer complaints.
- Monitored and evaluated the effectiveness of existing dispute resolution processes.
- Facilitated communication between stakeholders to ensure efficient conflict resolution.
Patient Care Advocate
Alorica (Express Scripts)
02.2021 - 09.2022
- Attended regular meetings with the interdisciplinary team to discuss complex cases and develop holistic plans of action.
- Actively sought feedback from patients about their experiences within the healthcare system in order to improve service delivery models.
- Assessed patient needs and developed individualized care plans to meet those needs.
Resolution Specialist
Target (Adecco) - Seasonal
06.2020 - 01.2021
- Assisted customers with inquiries and complaints, providing timely resolution to customer issues.
- Analyzed customer data to identify patterns of behavior or trends in order to anticipate potential problems and develop solutions.
- Drafted correspondence to customers regarding resolutions of their issues.
Chat Support Specialist
Intuit TurboTax (Concentrix) - Seasonal
02.2020 - 05.2020
- Assisted customers with technical issues on a wide range of products and services via live chat.
- Provided timely, accurate and professional customer service to all clients.
- Resolved customer inquiries efficiently and effectively within the provided timeframe.
Customer Service Representative
IQor Global Services
07.2018 - 02.2020
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Gathered customer feedback through surveys and used the data to improve customer service.
Education
High School Diploma - undefined
Impact Early College High School
Baytown, TX05.2017
Skills
- Oversaw implementation of insurance practices to enhance compliance and risk management
- Assisted patients with inquiries and concerns to enhance satisfaction Supported healthcare teams in addressing patient needs effectively Facilitated communication between patients and medical staff to ensure clarity
- Assisted in managing billing tasks to support timely invoicing Collaborated with team members to streamline billing procedures Provided support in resolving billing discrepancies to enhance customer satisfaction
- Executed patient registration processes to ensure accurate and efficient data collection
- Executed patient information verification processes to ensure data accuracy and compliance
- Facilitated goal-setting processes to align team objectives with organizational vision
- Organized and managed appointment scheduling processes
Timeline
Customer Service Representative
Conduent
07.2024 - Current
Billing Specialist
Getix Health
08.2023 - 07.2024
Patient Care Advocate
VXI Global Solutions LLC
09.2022 - 08.2023
Patient Care Advocate
Alorica (Express Scripts)
02.2021 - 09.2022
Resolution Specialist
Target (Adecco) - Seasonal
06.2020 - 01.2021
Chat Support Specialist
Intuit TurboTax (Concentrix) - Seasonal
02.2020 - 05.2020
Customer Service Representative
IQor Global Services
07.2018 - 02.2020
High School Diploma - undefined
Impact Early College High School