Dynamic customer service professional with proven problem-solving abilities at Allergy Asthma and Sinus Center. Adept at managing high-stress situations while enhancing user experience and achieving timely resolutions. Skilled in active listening and maintaining confidentiality, ensuring exceptional service and patient satisfaction in fast-paced environments. Committed to continuous improvement and operational excellence.
Overview
20
20
years of professional experience
Work History
Customer Service Representative
Allergy Asthma and Sinus Center
04.2021 - Current
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Assisted customers in navigating company website and placing online orders, improving overall user experience.
Addressed customer inquiries to ensure satisfaction and foster positive service experience.
Educated customers about billing, payment processing and support policies and procedures.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Met customer call guidelines for service levels, handle time and productivity.
Maintained up-to-date knowledge of product and service changes.
Insurance Verification Specialist
Endoscopy Center of Middle Ga
01.2013 - 03.2021
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Complied with HIPAA guidelines and regulations for confidential patient data.
Generated reports to track insurance verifications and claim progress.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Posted payments to accounts and maintained records.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Achieved insurance pre-authorizations to enable timely patient procedures.
Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
Increased accuracy of insurance verification, ensuring compliance with both provider and insurer requirements.
Collaborated with healthcare providers to ensure that insurance coverage met needs of patient treatments.
Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
Reduced errors in insurance claims by conducting thorough audits and implementing corrective measures.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Assisted patients with understanding personalized insurance coverage and benefits.
Ensured accuracy in patient insurance information by meticulously verifying details, leading to reduction in claim denials.
Expedited patient registration process by efficiently validating eligibility for various insurance plans.
Improved claim submission times by streamlining verification and authorization process.
Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
Enhanced patient trust by ensuring personal and sensitive information was handled with confidentiality during verification process.
Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
Optimized use of insurance verification software, leading to faster processing times.
Assisted in negotiating with insurance companies to secure better coverage options for patients.
Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Obtained payments from patients and scanned identification and insurance cards.
Assisted with medical coding and billing tasks.
Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments, and handling patient inquiries.
Registered and verified patient records before triage with most up-to-date information.
Prepared and processed patient referrals and transfer requests.
Managed office bookkeeping with insurance billing and patient payments.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Insurance Referral
Pulmonology Associates
08.2005 - 12.2012
Self-motivated, with a strong sense of personal responsibility.
Demonstrated respect, friendliness and willingness to help wherever needed.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Paid attention to detail while completing assignments.
Strengthened communication skills through regular interactions with others.
Proved successful working within tight deadlines and a fast-paced environment.
Resolved problems, improved operations and provided exceptional service.
Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
Organized and detail-oriented with a strong work ethic.
Managed time efficiently in order to complete all tasks within deadlines.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.