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Click here or scroll down to respond to this candidateCandidate's Name
Aurora ILPHONE NUMBER AVAILABLEEMAIL AVAILABLEWell-spoken professional with several years of experience supporting companies with up to several customer service inquiries daily. Patient and helpful navigator of company policies and regulations to best serve customers while adhering to company rules. Successful de-escalator, responding to tense situations with sense of calm and empathy. Payment postingClaims ProcessingContract PreparationFiscal reportingCoding proficiencyPolicy AdherenceMedical terminology knowledgeFollow-up skillsRegistration managementWork Quality EvaluationQuality AssuranceEMR UpdatingPayment ProcessingData EntryTechnical SupportProduct Knowledge09/2023 to 06/2024CVSCAREMARKBilling SpecialistGenerated periodic reports summarizing account balances and collection activities. Reviewed medical records to ensure accuracy of billing information and patient data. Verified insurance coverage and identified third-party payers for billing purposes. Performed insurance verification, pre-certification and pre-authorization. Computed credit terms, discounts and shipment charges for goods or services to complete billing documents. 03/2019 to 09/2023MOLINA HEALTHCAREHealthcare Customer Service RepresentativeDeveloped strategies for improving customer experience while maintaining compliance standards. Adhered to HIPAA regulations when handling confidential patient information. Ensured that proper follow up was completed after each interaction with a customer. Worked collaboratively with other departments such as billing, coding, clinical documentation improvement specialists when necessary.Managed incoming calls from patients and other healthcare facilities to provide information or schedule services. Assisted with training new staff members on policies and procedures related to customer service roles within the organization.02/2016 to 03/2019ERIE FAMILY HEALTH CENTERCall Center RepresentativeIdentified opportunities to upsell additional products or services when appropriate. Monitored call queues in order to prioritize incoming calls by urgency or importance level. Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.Performed outbound calling campaigns to promote new products or services. Provided accurate information regarding products and services while upselling additional products when appropriate.Followed standard processes and procedures for proper escalation of unresolved issues to appropriate internal teams.Participated in daily huddles with team members in order to discuss common goals and objectives. HIGH SCHOOL DIPLOMAManley Career Academy High SchoolSUMMARYSKILLSEXPERIENCEEDUCATION AND TRAINING |
