Developed strong relationships with clients to foster trust and loyalty.
Collaborated with real estate agents to streamline loan processing procedures.
Retention Agent
Cox Communications Inc.
Las Vegas
06.2022 - 01.2026
Engaged with customers considering downgrades or disconnections to address concerns and offer solutions.
Assisted customers with service inquiries and account management tasks.
Resolved customer issues through effective communication and problem-solving techniques.
Educated clients on product offerings and benefits of services provided.
Collaborated with team members to enhance customer retention strategies.
Documented customer interactions accurately in internal systems for tracking purposes.
Facilitated training sessions for new retention agents on best practices.
Maintained knowledge of industry developments to provide informed support to clients.
Conducted regular follow-up calls with existing customers to ensure their continued satisfaction with services provided.
Performed outbound calling campaigns to current customers in order to encourage repeat business and loyalty programs participation.
Assisted customers with inquiries regarding account information, billing and service-related issues.
Provided technical support when needed by troubleshooting issues related to product features or functionality.
Suggested new products or services based on individual needs identified during conversations with customers.
Upsold and cross-sold products, striving to retain every customer interaction.
Negotiated pricing and identified new opportunities while discussing competitors and value of Cox.
Medical Claims Adjuster
Hawaii Medical Service Association
Honolulu
03.2014 - 03.2017
Evaluated medical claims for accuracy and compliance with policies.
Reviewed documentation to determine eligibility and coverage details.
Coordinated with healthcare providers to clarify claim information, ensuring accurate processing and timely resolutions.
Processed appeals for denied claims according to regulations.
Identified and implemented process improvements that streamlined claims handling and reduced processing time.
Maintained detailed records of claims adjustments and resolutions.
Advised healthcare providers on proper coding techniques when submitting insurance claims.
Conducted periodic audits of existing processes used for adjusting medical claims.
Performed quality assurance reviews of submitted insurance claims prior to payment approval.
Documented all decisions made on claims in accordance with established guidelines.
Reviewed medical records to assess appropriateness of services rendered and billed, ensuring compliance with insurance policies.
Participated in training sessions designed to keep current on industry-specific regulations.
Investigated discrepancies in medical billing codes, patient information, and other data related to claims processing.
Receptionist
Haleiwa Family Health Center
Hale'iwa
10.2010 - 03.2014
Managed multi-line phone system, promptly addressing patient inquiries to enhance service quality.
Scheduled appointments and coordinated with healthcare providers daily.
Maintained patient records using electronic health record systems securely.
Managed patient check-in and check-out processes efficiently.
Processed insurance verifications and collected patient information accurately.
Clarified patients' financial responsibilities to ensure understanding before treatment.
Assisted in billing inquiries, providing clear communication to patients.
Ensured compliance with HIPAA regulations in all patient interactions.
Protected patients by observing strict HIPAA guidelines.
Delivered high-quality administrative and customer service to sustain patient and work flows.
Coordinated referrals for specialist care, ensuring timely follow-up for patients based on physician requests.
Performed data entry tasks related to billing and collections procedures.
Provided support to clinical staff during patient visits, including rooming patients, collecting vital signs and documenting chief complaints.
Transmitted medical records and other correspondence by mail, e-mail, or fax.
Communicated with patients with compassion while keeping medical information private.
Trained new reception staff on office procedures and software usage.
Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Performed bookkeeping duties, preparing and sending financial statements or bills.
Sent lab and diagnostic results to the correct staff for efficient patient care.
Compiled and coded patient information or data in appropriate computer system.
Education
High School Diploma -
Waipahu High School
Waipahu, HI
05-2004
Certification
NMLS, 03/01/17, Present, 1527824, 77933
Professional Summary - Career Objective
To obtain a challenging and rewarding position in a dynamic organization where I can utilize my skills and experience to contribute to the growth and success of the company.
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