Knowledgeable and dedicated customer service professional with extensive experience in the healthcare industry while also being flexible with the ability to adapt to any industry as needed.. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients/patients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Worked well in a team setting, providing support and guidance. Reduced claim denials with thorough insurance eligibility assessments prior to service provision.
Maintained up-to-date knowledge of insurance regulations, enabling accurate benefit verifications for various plans. Process prior authorization and claims through insurance.
Sought ways to improve processes and services provided well working remotely. Managed high volume of incoming calls for efficient problem-solving and timely support, ensuring positive client experiences.
Managed high call volumes while providing exceptional customer support and maintaining professional composure.
Review and Process claims and research whether or not Prior Authorizations was approved by insurance. Create mail order accounts for new patients. Run price checks for Rx and go over different Rx options with Pharmacists that best suits patients.
Update new insurance and copay cards to customers mail order account. Fax Patients Rx to their doctor to be profiled under mail order accounts. Reduced average call handling time, ensuring prompt service to customers while maintaining quality interactions.
Provide the best service as a medical assistant.
Sanitized, restocked, and organized exam rooms and medical equipment. Directed patients to exam rooms, fielded questions, and prepared for physician examinations. Obtained client medical history, medication information, symptoms, and allergies. Performed medical records management, including filing, organizing and scanning documents. Collected and documented patient medical information such as blood pressure and weight.
Called and faxed pharmacies to submit prescriptions and refills. Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed. Assisted physicians with minor surgeries, including preparing operating rooms and sterilizing instruments. Verified patient insurance coverage and collected required co-payments. Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Improved customer satisfaction by effectively resolving delinquent accounts through negotiation and payment plans. Provided excellent customer service during difficult conversations, defusing tensions while effectively payments. Explain to customers they Explanation of Benefits (EOB). Copay and deductible payment. Durable Medical Equipments coverage and delivery status. Documented changes in accounts and on credit reports. Negotiated to collect balance in full. Responded to customer inquiries and provided detailed account information. Contacted customers to discuss past-due accounts and negotiated payment plans. Entered client details and notes into system for interdepartmental access and review.