Friendly and empathetic with excellent communication skills, dedicated to providing outstanding service and support. Possesses solid understanding of customer needs and conflict resolution, coupled with strong problem-solving abilities. Aiming to build positive customer relationships and contribute to customer satisfaction and loyalty.
Overview
6
6
years of professional experience
Work History
Enrollment Specialist
BlueCross BlueShield, HCSC
10.2022 - 12.2024
Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Helped answer customers question dealing with Medicare and Medicaid.
Took between 80-130 inbound calls & made about 20 outbound calls.
Customer Service Representative
Spectrum
09.2021 - 10.2022
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered constant flow of customer calls with minimal wait times.
Researched product and issue resolution tactics to address customer concerns.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Responded to customer requests for products, services, and company information.
Clarified customer issues and determined root cause of problems to resolve product or service complaints.
Followed up with customers about resolved issues to maintain high standards of customer service.
Educated customers about billing, payment processing and support policies and procedures.
Answered between 70-100 inbound calls.
Customer Service Representative
Alorica
08.2018 - 09.2021
Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
Provided exceptional customer service to patients, answering questions and addressing concerns.
Verified insurance eligibility and coverage for patients.
Filed and maintained patient records in accordance with HIPAA regulations.
Investigated insurance claims denials and appeals.
Managed patient registration process, confirming data accuracy and completeness.
Handled customer service inquiries in person, via telephone and through email.
Resolved billing inquiries and disputes in timely fashion.
Answered between 80-120 inbound calls.
Education
High School Diploma -
Northeast Carolina Prep
Tarboro, NC
05.2019
Skills
Medical Billing
Health Education
HIPAA Compliance
Benefits Explanations
Patient Account Reviews
Claims Handling and Coverage Verification
Medicaid
Problem-Solving Ability
Critical Thinking
Efficient Data Entry
Microsoft Outlook
Persuasion
Cold calling
Sales strategies
Contact
Tarboro, NC 27886
Education
Tarboro, NC
Timeline
Enrollment Specialist
BlueCross BlueShield, HCSC
10.2022 - 12.2024
Customer Service Representative
Spectrum
09.2021 - 10.2022
Customer Service Representative
Alorica
08.2018 - 09.2021
High School Diploma -
Northeast Carolina Prep
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