With over 15 years of diverse experience in customer service, healthcare, administration, and education, I have consistently delivered results by resolving 100% of escalated issues within 24 hours and maintaining a high customer satisfaction rate. In just 3 months, I increased sales by 20% as a Customer Service Coordinator.
• Troubleshoot and seek solutions to problems related to questions and concerns over health insurance coverage and explanation of benefits, orders, and sales efforts.
• Communicate with insurance payers, clients, and patients regarding financial obligations.
• Verify insurance coverage to determine patients eligibility, coverage, co-insurance, and deductibles for HME and DME orders.
• Maintain insurance authorizations for current patients.
• Research and follow up on authorization denials.
• Collaborate with branch staff to collect additional information on physician orders.
• Streamlined customer complaint resolution process, resulting in a 30% decrease in average resolution time and improved customer satisfaction.
• Utilized assessment information and community resources to provide information, linkage, and service referrals.
• Screened, assessed, triaged, and provided telephonic and virtual crisis intervention or de-escalation to identify concerns with mental illness, developmental disabilities, substance abuse, job placement, medical care, housing, and child care using established protocols to collaboratively determine an immediate course of action.
• Created budgets and governed expenditures for each case to ensure that funds were being used effectively.
• Organized employment readiness, financial, digital, and technology literacy workshops.
• Coordinated care for 50+ clients, resulting in 95% adherence to treatment plans and improved client outcomes.
• Worked with K-12 schools in one of the 52 low-income communities in Atlanta.
• Instructed sixth-grade students introducing evidence-based teaching strategies and curriculum.
• Attended and participated in meetings and brainstorming sessions with team members.
• Collaborated with subject-matter experts, evaluated, and revised training tools for improved learning platforms.
• Collaborated with team members to promote great customer service and pleasant learning environments.
• Provided individualized support to struggling students, resulting in a 20% increase in grades and improved overall learning outcomes.
• Provided administrative coordination, including records filing, customer service, correspondence management, and document collection for more than 150,000 individuals securing housing through the New York State Emergency Rental Assistance programs.
• Processed financial documents, contracts, expense reports, and invoices.
• Reviewed outgoing correspondence for proper format conformance with procedural instructions, grammar, punctuation, spelling, and attachments
• Streamlined office operations by implementing a new filing system, increasing efficiency by 30% and saving 2 hours weekly.
• Resolved the escalation process for all escalations within twenty-four hours of being escalated.
• Commanded a high volume of calls with minimal downtime in between calls.
• Maintained current on products and services.
• Developed rapport with the customer base by overseeing difficult issues with professionalism.
• Developed effective relationships with all call center departments through communication and collaboration.
• Assisted customers with various technical and billing issues via email and telephone.
• Demonstrated advanced product knowledge to solve customer issues.
• Identified opportunities to upsell products and services.
• Resolved an average of 50 customer complaints per week, resulting in a 30% decrease in overall customer churn rate.
Microsoft Office
Pleasant
Troubleshooting
Professionalism
Communication
Health Insurance
Escalation Management
Brainstorming
Learning Management System
Teamwork
Problem Solving
Insurance Coverage
Technical Competency
Healthcare
Research
De Escalation Techniques
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