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Nancy
Customer Service Professional with 15+ years in telecom and healthcare
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Competencies
Investigated and resolved insurance claim issues, including denials and billing discrepancies, ensuring compliance.
Provided detailed support, troubleshooting, and inquiry resolution for customers in healthcare and entertainment services.
Managed complex communication with insurance companies, healthcare providers, and patients to facilitate medication delivery.
Provided translation services in English and Spanish to facilitate communication in healthcare and organizational contexts.
Education
Languages
Summary
Motivated professional with extensive experience in customer service, healthcare claims, and insurance resolution. Excels at coordinating with multiple stakeholders to ensure timely service delivery and issue resolution. Quick learner, eager to adapt to new roles like dispatching or logistics.
Key Achievements
- Resolved denied insurance claims by coordinating with carriers, improving approval rates.
- Handled customer inquiries across healthcare and telecom sectors, ensuring high satisfaction.
- Managed medication delivery processes by verifying insurance and provider details, ensuring timely delivery.
Experience
Insurance Resolution
Researched and resolved denied or delayed insurance claims by coordinating with carriers and internal departments., Handled daily claim queues and ensured resolution within compliance and productivity standards., Analyzed EOBs and corrected billing issues, resulting in increased claim approvals.,...
Healthcare Customer Service Advocate
Helped customers and members improve their health well-being and sense of security., Responded to complex inquiries regarding benefits, billing, eligibility coverage, and other related information.
Customer Service Representative
Took inbound and outbound calls from customers across the country., Assisted customers with their service questions, billing inquiries, and technical troubleshooting., Walked customers through troubleshooting steps for DISH TV and internet services., Maintained a high customer satisfaction rating...
Professional On-Demand Phone Interpreter
Provided translation services by the English language to Spanish or vice versa for organizations or individuals that had interpretation needs.
Customer Service Representative
Assisted customers with service questions, billing inquiries, and technical troubleshooting.