I am looking to obtain a level position where I can use my excellent customer service and communication skills. Also expand my knowledge in management.
Excellent communications skills - Verbal and Written Bilingual - Spanish and English
Able to prioritize and handle multiple tasks in a challenging environment and learn quickly.
Overview
10
10
years of professional experience
Work History
Remote Customer Care Advocate
The Kempton Group
Oklahoma City, OK
12.2022 - Current
Explained coverage options to potential policyholders, answering questions or concerns.
Provided guidance on medical reimbursement issues such as coding, claim forms, and fee schedules.
Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
Sent clinical request and missing information letters to obtain incomplete information.
Performed administrative tasks such as filing paperwork, preparing reports, answering phones, scheduling appointments.
Advised clients on how to maximize their health care benefits while minimizing out-of-pocket expenses.
Analyzed patient records to determine eligibility for coverage, benefit levels, and other related matters.
Identified trends in customer feedback and reported them to management for further investigation.
Created detailed reports about customer service activities as requested by management.
Audited customer account information to identify issues and develop solutions.
Tracked orders and communicated order status updates to customers as needed.
Answered customer inquiries via phone, email, and online chat.
Managed escalated calls from customers who are dissatisfied with service received.
Delivered customer support to high call load each shift.
Updated databases with new and modified customer data.