Knowledgeable in collections and health insurance with solid foundation in effective communication and problem-solving. Successfully resolved high volume of customer inquiries and demonstrated consistent reliability in handling challenging situations. Proven ability to maintain composure and deliver timely solutions while displaying empathy and active listening.
Overview
4
4
years of professional experience
1
1
Certification
Work History
CALL CENTER CUSTOMER SERVICE AGENT
Elevance Health - Anthem FHPS
12.2022 - Current
Navigated multiple computer systems and applications and utilized search tools to find information
Followed up promptly on all unresolved inquiries
Exceeded performance metrics consistently while maintaining a high level of professionalism during each interaction.
Demonstrated ability to multi-task between multiple systems while on the phone with a customer
Educated members and providers on benefits and claims directly contributing to a 20% reduction in claim disputes
Maintained up-to-date knowledge of company benefits and processes
Provided technical assistance to customers when needed such as resetting passwords or account access
Utilized effective communication techniques to build relationships with customers over the phone
Provided exceptional customer service to clients in fast-paced call center environment
Gave accurate and appropriate information to answer questions, troubleshoot issues and resolve complaints
Successfully managed high volume of inbound and outbound calls within established time frames
Employed active listening techniques to identify customer needs and ensure satisfaction
Followed standard operating procedures for handling customer calls, providing timely responses and resolutions
REVENUE CYCLE MANAGER
Bristol Dental Group
07.2020 - Current
Managed accounts receivable aging report ensuring accurate reconciliation of all transactions
Reviewed collection reports determining status of collections and amount of outstanding balances
Performed root cause analysis for denials received from insurance companies or other payers
Managed and coordinated multiple projects while ensuring timely completion
Championed system enhancements that improved automated billing functionality.
Monitored and guided revenue cycle operations.
Education
High School Diploma -
San Juan High
Citrus Heights, CA
07.2017
Skills
Process Improvement
Conflict Resolution
Excellent verbal and written communication skills
Self-motivated
Strong work ethic
Timeliness
Willingness to learn
Proficient in Microsoft Office Suite
Active Listening
Positive Attitude
Effective Communication
Attention to Detail
Empathy Display
Workload Management
Customer Relationship Management
Calm disposition
Can type 50 WPM
Adaptable
Certification
Basic Life Support
References
References available upon request.
Timeline
CALL CENTER CUSTOMER SERVICE AGENT
Elevance Health - Anthem FHPS
12.2022 - Current
REVENUE CYCLE MANAGER
Bristol Dental Group
07.2020 - Current
Basic Life Support
High School Diploma -
San Juan High
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