Your Name
Overview
5
5
years of professional experience
Work History
02.2023 - 05.2024
- Provided excellent customer service, resolving issues quickly and maintaining long-term client relationships.
- Maintained up-to-date knowledge of industry regulations, trends, and best practices to provide informed advice to clients.
- Trained new team members on company procedures, systems, and best practices for delivering excellent customer service in the financial sector.
- Enhanced customer satisfaction by addressing and resolving financial inquiries in a timely manner.
- Assisted in fraud prevention efforts by closely monitoring customer accounts and reporting suspicious activity as required.
Claim Processing Specialist
Nelnet
09.2021 - 05.2022
- Contributed to departmental goals by consistently meeting or exceeding individual performance metrics for both quality and quantity of processed claims.
Healthcare Customer Service Representative
Conduent
10.2019 - 03.2020
- Leveraged advanced software tools to quickly identify discrepancies, leading to more accurate claims decisions.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
High school diploma -
Kendrick High School
Columbus, GA05.2013
Skills
- HIPAA Compliance knowledge
- Claims processing
- Credit and collections
- Typing proficiency 55 wpm
- Inbound and outbound calling
- Time management
- Customer service
- Banking regulations
- Medical billing software
- Claims investigation
- Data entry and analysis
- Insurance verification
Timeline
02.2023 - 05.2024
Claim Processing Specialist
Nelnet
09.2021 - 05.2022
Healthcare Customer Service Representative
Conduent
10.2019 - 03.2020
High school diploma -
Kendrick High School