Diplomatic customer service professional experienced in defining and analyzing customer requests to resolve issues. Accurate in documenting customer concerns and dedicated to maintaining deep knowledge of products and promotions. Confident communicator recognized for consistently receiving excellent customer feedback.
Overview
15
15
years of professional experience
1
1
Certification
Work History
REMOTE PATIENT ACCOUNT REPRESENTATIVE
CONIFER HEALTH SOULTIONS
06.2021 - 01.2024
Researched discrepancies in patient accounts to determine appropriate resolution.
Ensured compliance with company policies concerning the privacy of confidential health information.
Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
LICENSED RETENTION SPECIALIST II
STATE FARM
DALLAS, TEXAS
04.2020 - 05.2021
Assisted customers with complaints, inquiries, and billing issues while maintaining a high level of customer satisfaction.
Created and maintained a database of customers for tracking purposes.
Ensured compliance with state laws regarding insurance sales practices.
Processed applications for new policies and renewals.
Created customized quotes based on customers' requirements.
PATIENT ACCOUNT REPRESENTATIVE
OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
BATON ROUGE, La
03.2018 - 01.2019
Reconciled payments received against outstanding invoices ensuring proper posting of credits and debits.
Ensured compliance with company policies concerning the privacy of confidential health information.
Communicated frequently with healthcare providers regarding payment status updates on their claims submitted.
Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
Worked closely with insurance companies to obtain authorization for services rendered.
Performed administrative functions for assigned accounts, recorded address changes and purged records.
Accepted and processed customer payments and applied toward account balances.
CLIENT SERVICE ADVISOR
HANCOCK WHITNEY BANK
DENHAM SPRINGS, LA
08.2017 - 02.2018
Updated account information as needed ensuring accuracy in all records.
Adhered strictly to privacy regulations when handling sensitive customer information.
Provided comprehensive advice on a range of banking products including loans, mortgages, savings accounts, investments and insurance.
Participated in training sessions to stay up-to-date on changes in banking policies and procedures.
CLAIMS APPEAL REPRESENTATIVE
UNITED HEALTH GROUP
BATON ROUGE, LA
03.2016 - 02.2017
Drafted written reports summarizing findings from investigations and appealed cases.
Applied appropriate corrective actions when necessary after reviewing evidence from grievance hearings or investigations.
Advised senior management on potential impacts of proposed personnel decisions on labor-management relationships.
Facilitated effective communication between management and employees regarding grievance matters.
PROJECT MANAGEMENT COORDINATOR
ROBERT HALF
BATON ROUGE, LA
08.2015 - 02.2016
Developed process documents and procedures related to project management activities.
Analyzed customer feedback data from surveys and provided insights into how it could be used to improve service delivery.
Created detailed reports on the progress of various projects, identifying any potential risks or issues.
Developed project plans and timelines to ensure successful completion of projects.
SR ENROLLMENT ADVISOR/ ACCOUNT SPECIALIST
BLUE CROSS BLUE SHIELD OF LOUISIANA
BATON ROUGE, LA
03.2010 - 02.2015
Verified accuracy of data entry, corrected errors, and updated existing records.
Maintained confidentiality of sensitive client information at all times.
Organized and maintained up-to-date filing systems for easy retrieval of documents.
Performed daily checks on system to ensure accuracy of data entry.
Investigated customer inquiries related to insurance claims, billing errors, and other discrepancies.
UTILITY TELLER
TECHE FEDERAL BANK
BATON ROUGE, LA
09.2008 - 03.2010
Resolved customer complaints quickly and professionally while maintaining confidentiality of customer information.
Ensured compliance with Bank Secrecy Act regulations when processing transactions.
Performed daily audits of ATM machines to ensure proper functioning and accuracy of cash levels.
Cross-sold other bank products such as credit cards and savings plans to customers.
Leveraged customer service and sales abilities to consistently meet performance goals.