Clinical Operations Representative
Turning Point Healthcare Solutions
01.2018 - Current
- Successfully validated and ensured high-quality insurance verification for over 500 providers, facilities, and members with a meticulous attention to detail and accuracy.
- Collaborated with cross-functional teams, including Data Services and CRM Help Desk, to identify and implement innovative initiatives, resulting in a 20% increase in operational efficiency and a 15% improvement in customer experience.
- Identified and resolved 50+ complex issues in error reports for Fidelis & WellCare, demonstrating a deep understanding of the healthcare industry and saving $10,000 in potential losses.
- Skillfully handled 100+ complex calls with minimal assistance, utilizing exceptional problem-solving and communication skills to deliver optimal solutions and improve customer satisfaction by 25%.
- Accurately and efficiently entered 1000+ updates to insurance data from Document Management System or FAX while strictly adhering to departmental procedures and ensuring compliance with HIPAA confidentiality guidelines.

