
Financial customer service representative with 28 years of experience in retail proficient in customer service and cash handling accuracy. Professional with strong background in clearance processes and compliance. Proven ability to navigate complex regulatory environments and ensure accurate documentation. Excel in team collaboration, adapting to changing needs, and consistently delivering results. Skilled in risk assessment, data analysis, and maintaining high standards under pressure. knowledgeable clearance specialist
with solid background in managing sensitive information and maintaining compliance with industry regulations. Successfully facilitated clearance processes and ensured secure handling of classified documents. Demonstrated expertise in risk assessment and meticulous attention to detail.
Processes administrative and financial components of financial clearance including, validation of insurance benefits, medical necessity validation, routine and complex pre-certification, prior authorization, scheduling/pre-registration, patient benefits and cost benefits. Initiates and tracks referrals, insurance verification, and authorizations for all encounters works directly with physicians office staff to obtain clinical data needed to acquire authorization from carrier input information to submit requests for authorization provides clinical backup for test and documentation and approval and pending status. Identify issues and problems with referrals insurance verification processes analyzes current process, and recommendation solutions and improvements coordinate and schedule services with providers and clinics pre-registered patients to obtain demographic and insurance information for registration insurance verification authorization referrals, and bill process assistance, Medicare patients and performs other duties as assigned.
Performed cashiering duties such as processing money orders, check cashing, bill payments and wire transfers. Mentored team members on best practices and customer service delivery within the finance industry. Implemented and developed customer service training process, cross trained, and assist customer service managers. Monitor cash drawers and multiple checkout stations and maintain adequate cash supply.