With over 15 years of experience in account management, problem-solving, and workflow optimization, this client and customer service professional excels in delivering exceptional results. Keen attention to detail, critical thinking skills, and expertise in leveraging tools like Microsoft Office Suite and Salesforce have consistently improved operational efficiency. Highly skilled in training, quality assurance, and process improvement, ensuring flawless execution of all aspects of customer service.
PROFESSIONAL STRENGTHS
• Extensive Client Support Experience: Over 15 years of expertise in delivering exceptional customer service, managing client accounts, and resolving complex issues efficiently.
• Process Improvement: Skilled at showing inefficiencies, analyzing trends, and implementing workflow optimizations to enhance productivity and quality.
• Training and Development: Proficient in training new hires, easing cross-functional team learning, and providing refresher courses to boost team performance.
• Technical Proficiency: Advanced knowledge of Salesforce, MHS/PEGA, Callidus, SAP, Epic, and Microsoft Office Suite, ensuring seamless execution of technical and operational tasks.
• Medical Billing and Coding Expertise: Certified in billing, coding, and electronic health records with a proven ability to interpret and process medical claims with accuracy and compliance.
• Attention to Detail: Proves a prominent level of precision in auditing, record-keeping, and quality assurance activities.
• Strong Communication Skills: Effective in liaising with members, brokers, providers, and internal teams through various communication channels to address concerns and deliver resolutions
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• Leadership and Team Collaboration: Recognized for leadership capabilities, mentoring team members, and fostering collaboration to achieve departmental goals.
• Problem Solving and Critical Thinking: Adept at assessing challenges, developing actionable solutions, and driving continuous improvements in service and operations.
• Regulatory Compliance: Thorough understanding of HIPAA privacy and security standards, ensuring all member information is protected and processed securely.