Pamela Torres
Brownsville,US
Summary
Costumer service representative with 5 years of experience in high call volume environment. Highly adaptable to changing priorities and procedures. Commitment to providing outstanding services. Eager to bring my skills and enthusiasm to contribute.
Overview
6
6
years of professional experience
Work History
Customer Service Representative
Teleperformance USA
01.2019 - Current
- Answered customer telephone calls promptly to avoid on-hold wait times to past, current members, brokers, and providers.
- Providing information about their medical care, benefits, application status, directing patients to resources, and scheduling appointments.
- Updated account information to maintain customer records.
- Participated in team meetings and training sessions to stay informed about insurance updates and changes.
- Clarified customer issues and determined root cause of problems to resolve complaints.
- Educated customer about billing, payment processing and support.
- Provided prior authorization status and appeal services.
- Educated and coached new team members on company policies through chat support.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
Education
High School Diploma -
James Pace Early College High School
Brownsville06.2016
Skills
- Payment Processing
- Multitasking
- Computer literacy
- Adaptability
- Knowledge of HIPAA
- Excellent communication skills
- Excellent knowledge of Medicare and Medicaid policy and regulations
- Issue and Complaint resolution
- Active Listening
- Data Entry
- Documentation
Languages
English
Spanish
Timeline
Customer Service Representative
Teleperformance USA
01.2019 - Current
High School Diploma -
James Pace Early College High School
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