Dedicated Customer Service professional with 31 years of customer service experience. I have a proven history of maintaining professionalism and positivity in stressful situations. and knowledge of service delivery and proven multitasking abilities. I am a trainer and mentor with strong leadership skills.
As customer service lead, I am responsible for working shifts in the clinic where I greet patients as they come in to the clinic. I input demographic information and insurance. Verify insurance to be sure whether or not patient has a copay, deductible, or co-insurance. Collect payments and apply charges to visit. I also collect on any bad debt that patient may have on their accounts. I am responsible for chart audits and reaching out to the customer service representative to ensure they understood any issues with the findings in the chart audit. I am responsible for:
As a clinical care partner I am responsible for coordinating patient care appointments, following established standards and practices of population health management, calls patients for follow-up appointments who were recently admitted to the hospital. Calls patients that are identified by the Quality Department as high risk or need an appointment to address Quality measures. Relies on guidelines to accomplish tasks. Relies on experience to complete job. I work close with the payor ensuring that all required gaps in care is met. I am responsible for auditing charts and making rounds in the clinics. I have experience in telephone messaging, prior authorization request.