TANEASHA KENT

• Utilized CRM software to track customer interactions, record feedback, and monitor progress towards goals.
• Assisted customers with complaints, inquiries, and billing issues while maintaining a high level of customer satisfaction.
• Managed communication with at-risk customers, negotiating solutions to retain their business.
• Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
• Approached customers and engaged in conversation through use of effective interpersonal and people skills.

Clarifies and verifies details of insurance coverage with private or government carriers and offers
information to patients before medical services are provided.
insurance follow ups and denials and analyze claim denials, identify root cause, and develop effective
strategies for appeals
responsible for validating and authenticating information to ensure its accuracy and compliance with
established standards.
Maintain awareness of federal and state health care legislation and regulations; OSHA, CLIA, and HIPAA.
Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to
ensure all proper measures are taken and information is collected.
Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate

• Ensure compliance with HIPAA regulations while handling sensitive patient information.
• Communicate with healthcare providers, patients, and insurance companies to gather necessary information.
• Secured proper payment for services rendered by thoroughly reviewing insurance coverages and applying appropriate codes.
• Improved patient satisfaction by efficiently processing medical claims and addressing inquiries.
• Review and process prior authorization requests for medical services and procedures.
• Maintain accurate records of authorizations, denials, and appeals in medical records.
  • Collaborate with medical offices when applicable to ensure seamless authorization processes for health
  services.
  • Stay updated on changes in insurance policies and managed care guidelines to ensure proper authorization procedures are followed.
  • Assist in resolving any issues related to insurance verification or authorization denials.

Address

• Investigated sensitive customer service complaints and delivered prompt resolution to customer satisfaction.
• Maintained knowledge of company products and services to promptly resolve complaints and concerns.
• Remained calm and professional in stressful circumstances and effectively diffused tense situations.
• Established positive rapport with customers, managers and customer service team members to maintain positive and successful work environment.
• Demonstrated excellent communication skills in resolving product and consumer complaints.

• Researched customer accounts for any discrepancies or outstanding payments.
• Negotiated rates with customers and entered payments into accounting system.
• Maintained accurate records of all customer contact attempts and account updates in the database system.
• Performed reconciliation of accounts to ensure accurate billing and collections records.
• Arranged debt repayment or established schedules for repayment based on customer's financial situation.