This is my profileContact via CazVidEuMariDanelle
Customer Service Representative
Contact
Competencies
Handled submitting, tagging, denying, and finalizing insurance claims across multiple roles.
Provided effective communication with patients and customers via email and direct support.
Managed payments, billing, and benefit verification within healthcare services.
Utilized CRM systems, Microsoft Excel, and Word for data management and correspondence.
Processed refunds, credits, and live/non-live order statuses via email support systems.
Education
Languages
Summary
Dedicated specialist with extensive experience in claims processing, customer support, and healthcare benefits management.
Key Achievements
- Processed and finalized member and professional claims at Carelon Global Solutions.
- Handled patient enrollment and billing, ensuring accurate healthcare benefit management at Alorica.
- Managed email communications and order processing for customer support at Concentrix.
Experience
Financial Operations Specialist I
Processing and finalization of submitted member claims, professional and facility claims., Benefit tagging, claims denial, denials of timely filed claims.
Customer Service Representative
Handles patients enrollment, billings and other medical necessities on their account., Settling the payment on their claims, checking status and coverage of their healthcare benefits.
Email Support Representative
Sending emails to the customer, checking status for their live and non-live orders., Processing of their refunds or credits.