Summary
Overview
Work History
Education
Skills
Timeline
Generic

Timothy Wilson

Arlington,TX

Summary

Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

10
10
years of professional experience

Work History

Customer Service Representative

Zenith American Solutions
10.2017 - 03.2024
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Strong Leadership and communication skills used to problem solve,delegating, giving and receiving feedback, organization and motivation skills.Insurance Verification.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Familiar with medicare,medicaid,managed care,commercial and private insurance proficient in reviewing claims accuracy, payments, collections, denials and eligibility.
  • medicaid, medicare, managed care, Tricare, commercial and private insurances.

Proficient in reviewing claims accuracy, payments, collections, denials and eligibility.

Claim Specialist

United Health Care: CSR
09.2015 - 06.2017
  • Reduced claim processing time by implementing efficient workflow procedures and organization systems.
  • Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
  • Collaborated closely with adjusters to ensure accurate, fair, and timely claims settlements for all involved parties.
  • Attention to detail.
  • Documentation and reporting
  • Problem solving
  • Obtain all necessary information required to process a prior authorization if applicable.
  • Relay insurance coverage to referral sources and patients and discuss financial responsibilities and any need for financial assistance.
  • Data entry, insurance claims, medicaid and medicare insurance claim processing and customer support.
  • Handle over 150 calls daily for claims processing and member support.

Customer Service/ Tech Support

Time Warner Cable
05.2014 - 08.2015
  • Enhanced customer satisfaction by promptly resolving issues and addressing concerns.
  • Streamlined communication for improved response times, resulting in positive customer feedback.
  • Collaborated with team members to develop effective strategies for handling challenging customer interactions.
  • Managed high call volume, maintaining professionalism and efficiency under pressure.

Education

No Degree - Communications

Valencia College
Dallas, TX
09.2019

Skills

  • Highly Competent and energetic healthcare professional
  • Report Generation
  • Medicare, Medicaid, Tricare, Commercial and private insurances
  • Data Entry
  • Call center experience
  • Technical Support
  • Customer Service
  • Proficient in reviewing claim accuracy, denials and eligibility

Timeline

Customer Service Representative

Zenith American Solutions
10.2017 - 03.2024

Claim Specialist

United Health Care: CSR
09.2015 - 06.2017

Customer Service/ Tech Support

Time Warner Cable
05.2014 - 08.2015

No Degree - Communications

Valencia College
Timothy Wilson