An organized and motivated individual, eager to utilize time management and organizational skills across diverse settings. Seeking entry-level opportunities to enhance abilities while contributing to company growth.
Overview
3
3
years of professional experience
Work History
Heathcare Customer Service Representative
CareCentrix (remote)
Housron, TX
09.2021 - 02.2023
Assisted members and clients in navigating the health insurance enrollment process, addressing inquiries, and providing information on available plans and benefits.
Expertly guided individuals and groups through the selection and enrollment of health insurance plans, including Medicare, Medicaid, and commercial plans.
Maintained in-depth knowledge of a suite of insurance products, ensuring accurate and informative responses to member questions.
Effectively communicated the features, coverage and costs of health insurance plans and additional benefits, aiding members in making informed decisions.
Medical Claims Specialist
Simply Healthcare (remote)
Houston, TX
02.2020 - 08.2021
Answering inbound calls, emails, and chats from customers regarding their healthcare claims. Providing clear and accurate information about claim status, benefits, and coverage.
Addressing customer inquiries, complaints, and feedback in a professional and courteous manner. Assisting customers with understanding their Explanation of Benefits (EOB) statements.
Verifying claims information, and ensuring completeness and accuracy.
Coordinating with healthcare providers and insurance companies to resolve claims issues.