Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.
Overview
9
9
years of professional experience
Work History
Customer Service Representative
Capital Group
04.2021 - 03.2022
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Streamlined call center processes for improved efficiency and reduced wait times.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Assisted customers in navigating company website and placing online orders, improving overall user experience.
Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Authorization Specialist/customer service
Fidelis care New York
04.2013 - 05.2019
Providing excellent customer service by explaining policy and procedures to both members and providers
Assisting providers with obtaining authorization for procedures permitted by New York state guidelines (I.E.)non participating providers office visits and emergency room admissions
Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
Education
High school or equivalent - General studies
Kensington high school
Buffalo, NY
06.1999
Skills
Product and Service Support
Payment Processing
Quality Assurance
Product Knowledge
Active Listening
Written Communication
Telephone Etiquette
Account Updating
Personal Information
Title: Customer service professional
Work Permit: Authorized to work in the US for any employer
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