Teria Quinn
Sylvania
Summary
Dedicated customer service representative with extensive experience in healthcare operations and health insurance. Proven ability to enhance patient services and ensure accuracy in policy documentation while effectively training new hires and resolving complex claims issues.
Overview
23
23
years of professional experience
Work History
Customer Service Representative
Medical Mutual of Ohio
Toledo
01.2006 - Current
- Answer incoming calls from policyholders and insurance carriers regarding benefits and claims.
- Answer incoming calls to explain benefits, coinsurance, copay, and deductible.
- Contacted policyholders and insurance carriers to resolve unpaid claims and balances, ensuring timely follow-up.
- Assisted with escalated calls, resolving issues effectively and referring complex cases for further review.
- Analyzed policyholder accounts to identify and recommend alternative benefits, enhancing customer satisfaction.
- Coordinated meetings to provide policyholders with information on their insurance benefits
- Updating insurance database to ensure accuracy of policyholder information and demographics.
- Perform necessary research to assist in troubleshooting issues and system errors.
Pharmacy Assistant
Toledo Hospital
Toledo
01.2004 - 01.2006
- Verified prescription orders for accuracy to ensure timely fulfillment.
- Ensured accurate benefit coverage verification with insurance providers to facilitate proper medication access.
- Conducted inventory and documented medication counts to maintain accurate stock levels.
- Monitor and record distribution of outgoing medications
- Delivered medication throughout the facility to support patient care.
- Produced daily reports to track departmental activities.
Education
High School Diploma -
Macomber Whitney High School
Toledo, OH06-1990
Skills
- Claims management
- Policy administration
- Benefit assessment
- Data verification
- Data entry
- Problem resolution
- Client engagement
Timeline
Customer Service Representative
Medical Mutual of Ohio
01.2006 - Current
Pharmacy Assistant
Toledo Hospital
01.2004 - 01.2006
High School Diploma -
Macomber Whitney High School