Friendly and empathetic with strong dedication to helping customers resolve issues and cultivating a positive image. Skilled in handling customer inquiries, resolving complaints, and ensuring customer satisfaction. Strong listening and communication skills.
Overview
6
6
years of professional experience
Work History
Member Service Representative
Humana
06.2021 - 12.2023
Interpret the meaning of insurance terminology, plans and documentation and explain what it means in an easy-to-understand way.
Process orders for new and existing members, collecting necessary information for insurance billing; collect payment as needed.
Maintain a positive, empathetic, and professional attitude toward members and co-workers at all times.
Handle high call volumes consistently throughout the workday that range in complexity and sensitivity while maintaining composure with members.
Provider Service Representative
Ehealth Insurance
08.2019 - 06.2021
Create a complete pre-registration account for an upcoming inpatient/surgical admission.
Adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties in addition to full scheduling duties.
Answering phone calls, chats inquiries, and written questions, concerns, and complaints regarding membership.
Providing information on health plans and policies, processes, benefits, products, and services.
Medical Receptionist
North Mississippi Medical Center
11.2017 - 07.2019
Collaborate with the triage team and Patient Flow Coordinator to efficiently manage daily provider schedules and assists with accommodating walk-in patients or same-day appointments.
Provide positive and courteous customer service at both the reception desk, scheduling services, and over the phone for multiple clinic sites while maintaining a professional presence at all times.
Processing correspondence to referring physicians and patients.
Ensures transcribed reports are appropriately forwarded in a timely fashion as necessary.