Dedicated professional with proven skills in problem-solving, case management, and active listening. Committed to enhancing customer experiences and streamlining processes for improved service delivery.
Overview
9
9
years of professional experience
Work History
Case Manager
Percepta
Houston, TX
05.2024 - Current
Managed high-volume calls, ensuring timely responses to customer requests and maintaining service quality.
Resolved customer inquiries and complaints through effective communication and problem-solving techniques.
Assisted in training new team members on customer service protocols and best practices for efficiency.
Utilized CRM software to document customer interactions and track issue resolution progress accurately.
Customer Service Specialist
GetixHealth
Sugar Land, TX
01.2023 - 05.2024
Managed complex billing issues, ensuring accurate account resolution and minimizing discrepancies.
Established trust with clients through clear communication, patience, and understanding their unique challenges fully before offering solutions tailored to their needs.
Collaborated with team members to create effective strategies for improving overall customer experience.
Referral Specialist
Centene
Houston, TX
03.2022 - 10.2022
Coordinated patient referrals to ensure timely access to necessary services.
Reviewed and processed referral requests for accuracy and compliance with policies.
Maintained detailed records of referral outcomes to support quality improvement initiatives.
Collaborated with healthcare providers to streamline referral processes and enhance communication.
Called insurance companies to get precertification and other benefits information on behalf of patients.
Medical Claims Specialist
Vets United
Austin, TX
11.2017 - 09.2021
Processed and submitted medical claims for various services, ensuring compliance with industry regulations.
Reviewed claim documentation for accuracy and completeness, reducing errors in processing.
Collaborated with healthcare providers to resolve discrepancies in claims submissions and payment issues.
Trained junior staff on best practices for claims processing and system usage, enhancing team performance.