
Patient Access Specialist with extensive experience in insurance verification and patient registration at CEENTA. Demonstrated ability to improve patient flow through effective communication and collaboration. Proficient in EHR management and HIPAA compliance, ensuring high standards of detail and empathy in healthcare service delivery..
Facilitated effective communication as primary liaison for callers, resolving issues per client specifications.
Provided detailed guidance to customers on claims application and servicing processes.
Directed customer inquiries to appropriate contacts across various locations, escalating issues when necessary.
Requested medical records and authorizations from nationwide medical facilities and patients for insurance purposes.
Facilitated efficient communication between healthcare providers and insurance companies regarding documentation requests.
Delivered sales and support assistance via phone and email, resolving general inquiries and incidents.
Utilized computerized systems for tracking and troubleshooting basic customer inquiries.
Documented issues, identifying actions for order entry, modifications, billing, payments, pricing, and reporting.
Provided empathetic customer service by managing inquiries on medical claim updates.
Utilized Microsoft Office and internal systems for accurate, efficient handling of customer interactions.
Resolved claim issues with commercial and government payers, ensuring timely reimbursements.
Secured appropriate reimbursements by addressing discrepancies with relevant payers.
Processed diverse transactions, including health enrollments and tax updates, ensuring employee comprehension of health benefits.
Resolved payroll and benefits issues, advocating for employees to improve understanding of HR services.
Clarified customer requirements to ensure accurate service delivery and improve satisfaction.
Tracked and documented information using a call tracking database to enhance interactions.
Addressed inquiries regarding premiums, claims, payment status, and in-network providers for senior members to deliver exceptional customer service.
Verified coverage and payment statuses for providers and brokers through effective communication and problem-solving skills.
Facilitated communication with insurance companies for detailed patient benefit information.
Ensured accurate, timely verification of benefits for healthcare providers.
Utilized decision-support tools to efficiently resolve customer service orders and requests.
Delivered solutions to core customer issues while maintaining expertise in client products and services.
Managed and resolved inquiries concerning loan processes, addressing 50 to 100 calls daily.
Ensured confidentiality through secure handling of sensitive customer information.