Re'Me Jones

• Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
• Responded to customer requests for products, services, and company information.
• Reviewed and adjusted customer coverage levels to address, identify, and resolve customer conflicts.
• Fielded customer complaints, escalating complex issues to management for resolution.

● Accountable for over 30 accounts, invoicing services and charges to the relevant payer, demonstrating proficiency in the validation of both electronic and hard copy claims.

● Ensured accurate and timely billing processes to validate the receipt of claims in various formats.

● Analyzed trends and closely monitoring payment patterns to identify and address potential issues in a timely manner.

● Maintained excellent customer service standards while interacting with patients and payers, fostering positive relationships.

• Stayed calm under pressure to and successfully dealt with difficult situations.
• Applied administrative knowledge and courtesy to explain procedures and services to patients.
• Recommended service improvements to minimize recurring patient issues and complaints.

● Skillfully managed the collection of co-pays and deductibles while also providing essential education on financial assistance, contributing to a positive and informed patient experience.

● Proficiently collected and entered pertinent financial and demographic information to register and schedule patients for appointments.

● Cultivated strong relationships with Payers, prioritizing a customer-focused approach to ensure patients' eligibility for benefits and Prior Authorization.