Customer care ,Claims , Sales specialist with over 9 years of experience in resolving complex Billing inquiries,Negotiation and Enhancing customer satisfaction. Demonstrates expertise in data analysis, strategic planning, and process improvement, leading to streamlined payment processes and reduced errors. Known for creative problem-solving and fostering positive customer relationships, aiming to leverage skills in a dynamic environment.
• Check to ensure that appropriate changes were made to resolve customers' problems
• Determine charges for services requested, collect deposits or payments, or arrange for billing
• Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance
• Taking over 100 calls a day inbound, chats and outbound calls
• Finding physician in clients area, OVR PRESCRIPTION, & Sending out new ID cards
• Dealing with over 100 claims a day.
• Answered customer inquiries and provided accurate information regarding products and services.
• Developed strong customer relationships to encourage repeat business.
• Denied Claims / Approval Claims
Accounting
Banking
Data Collection
ERP Systems
Salesforce
Cold Calling
Quality Assurance Controls
Insurance Claims
Dispatching
Billing
Technical support
Insurance verification
B2B sales
Negotiation & Persuasion
Debt Recovery Techniques
Target -Driven Approach
Dispute Resolution
Data Management
Five9, Genesys Cloud CX, LiveVox
Nexsys, AutoIMS