Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.
Overview
9
9
years of professional experience
1
1
Certification
Work History
PROVIDER SERVICE REPRESENTATIVE
Network Health, Broad-Path Inc.
12.2021 - Current
Provide quality customer service and clear explanations on claims, inquiries, and insurance plans
Managed approximately 30 or more incoming calls, emails, and claims per day from customers.
Assisting with inbound and outbound calls to providers and patients
Good attitude and ability to work independently from home, as well as with a team
Acting as a liaison, working with Medicare claims and policy holders.
Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
Acted as a liaison between providers and company leadership, effectively communicating concerns and feedback to facilitate continuous improvement initiatives.
Improved communication between providers and insurance companies, leading to better understanding of policy coverage and claim status.
Ensured compliance with healthcare regulations and standards through diligent provider monitoring and education.
SR. PATIENT CARE TECH/PATIENT SERVICE SPECIALIST
BAYLOR SCOTT AND WHITE
07.2017 - 08.2021
Duties included patient relations, check in and check out, scheduling, insurance verification and answering phones
Arranging follow ups and referral appointments
Operating dialysis machine, along with basic patient care
Administering medication per patient order
Along with various other tasks.
Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
Managed approximately 30 incoming calls, emails, and faxes per day from customers
Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
Trained new team members on clinic procedures, fostering a welcoming and cohesive work environment.
Increased patient loyalty through timely follow-up calls and addressing inquiries or concerns.
Verified patient insurance eligibility and entered patient information into system.
CUSTOMER SERVICE REP
SERVICE 800
04.2015 - 12.2016
Making courtesy calls to medical facilities on behalf of several medical supply companies
Calling clients to make sure the product was meeting or exceeding their expectations after purchase.
Responded to customer requests for products, services, and company information.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Managed about 70 incoming calls, emails, and faxes per day from patients.
Education
PSYCHOLOGY -
TROY UNIVERSITY
Montgomery, AL
08.2015
Skills
Typing (45 wpm)
EMR (system)
Scheduling
Insurance
Medicare and Medicaid knowledge
HIPAA Compliance
Claims Processing
Insurance Verification
Data entry proficiency
Problem-solving abilities
Attention to Detail
Certification
BLS Certification
CCHT Certification
Timeline
PROVIDER SERVICE REPRESENTATIVE
Network Health, Broad-Path Inc.
12.2021 - Current
SR. PATIENT CARE TECH/PATIENT SERVICE SPECIALIST
BAYLOR SCOTT AND WHITE
07.2017 - 08.2021
CUSTOMER SERVICE REP
SERVICE 800
04.2015 - 12.2016
PSYCHOLOGY -
TROY UNIVERSITY
BLS Certification
CCHT Certification
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