Daily client engagement/interaction from simple tasks completed within a short time to long term projects requiring additional resources like engineers and developers.
Clear communication when explaining or presenting issues to clients
Building and maintaining strong relationships with representatives internally and externally to ensure client satisfaction.
Over 6+ years working with clients externally on a wide variety of issues to working with multiple clients on one specific product.
Constant transparent communication amongst my teammates and peers.
Gathering attendants and setting up meetings individual or reoccurring to discuss issues.
Proficient knowledge in the Availity provider data management tool.
Additional knowledge in reporting tools like splunk and cognos
Understanding of responsibilities amongst multiple teams and products through out Availity.
Yearly HIPAA training
Clearinghouse Support Specialist
Availity LLC
07.2017 - 08.2018
Providing recommendations for resolution of production problems for Tier 1 clients.
Extensive knowledge of X12 and EDI implementation guidelines
Providing on-call technical support for Tier 1 customers.
Conducting hands on and professional assistance for Tier 1 clients on EDI transactions through multiple payers/trading partners to achieve excellent resolutions and teaching in attempt to lower issue occurrence for clients.
Meet decided deadlines for assigned tasks.
Ability to handle a large case load of issues for Tier 1 clients.
Maintain updates for Tier 1 issues for clients and provide ETAs of resolution or fix if applicable.
Consistently working with the team and outside teams to alert possible incoming issues impacting large amounts of clients.
Advising clients of known issues or upcoming possible impacts to transaction when possible.
Research on issues that cannot be resolved by outside contact to payers/trading partners
Client Services Representative
Availity LLC
06.2016 - 07.2017
Manage large amounts of inbound calls in a timely manner.
Identify customers' needs, clarify information, research every issue and provide solutions and/or alternatives.
Provide assistance with problems such as claim rejections, web portal glitches/issues, navigation of web portal, and troubleshooting log in issues.
Reach out to payers for additional research on claim issues.
Opening tickets with payers when needed for additional information on issues with the web portal, link outs to payer portals, and claims.
Processing ERA registration for multiple payers in a timely matter.
Communicating with providers about issues through the online technical support que.
Assisting with additional side products when support is needed.
Constantly meeting or exceeding personal and career goals, to better advance the customer service experience the company provides to its providers and clients.
Consistently meeting with team leads and managers to determine how the team and I can better our client experience.
Understanding how to make a client feel more comfortable when they begin to become upset or frustrated with an issue.
Testing transactions for providers to ensure the tools are working according to the guidelines.