
Seasoned Customer Service Representative who is motivated and skilled to provide excellent customer service. I am a customer-serviced focused individual who maintains a positive demeanor and dedicated to customer satisfaction as well as contribute to company success.
Educated callers about company protocol and each individual insurance companies guidelines and policies.
Reviewed clinical documents, medical records, extract and presenting to clinicians
for coverage determinations. Made non clinical coverage determinations for simple review.
Received and provided resource information
to clinical providers regarding coverage criteria and guidelines for prior authorization process. Worked closely with staff physicians in the peer to peer process.