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Customer Service Professional with 5 years in Healthcare Industry
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Competencies
Expert in addressing member inquiries and resolving issues efficiently.
Knowledgeable in revenue cycle management and accounts receivable workflows.
Proficient in managing schedules and delivering services within tight deadlines.
Skilled in handling unexpected situations with calm and effective solutions.
Able to juggle multiple responsibilities while maintaining a high level of performance.
Summary
Dedicated customer service professional with extensive experience in the healthcare industry, adept at managing member inquiries and optimizing operational workflows.
Key Achievements
- Resolved high-volume member inquiries, enhancing overall member satisfaction.
- Supported revenue cycle operations across multiple hospitals, improving workflow efficiency.
- Successfully navigated complex healthcare systems to expedite accounts receivable processes.
- Managed independent transportation services, ensuring timely and reliable service delivery.
- Coordinated household operations effectively, demonstrating strong organizational and multitasking skills.
Experience
Supported high-volume member inquiries regarding benefits, eligibility, and claims resolution. Performed prior authorizations for outpatient procedures per payer requirements. Resolved billing and coverage issues with accuracy and professionalism. Managed coordination of benefits (COB) across multiple payers. Worked structured work queues to resolve pending member and provider issues. Documented all interactions in HIPAA-compliant systems
Supported revenue cycle and accounts receivable workflows across a multi-hospital system. Navigated multiple healthcare systems simultaneously during inbound and outbound AR calls. Worked in three systems at once to resolve billing, eligibility, and account issues. Managed structured work queues requiring detailed follow-up and resolution tracking. Coordinated across departments to ensure accurate claims processing and resolution. Maintained HIPAA-compliant documentation across all platforms
Assisted members with dental benefits, eligibility, and claims inquiries. Processed account updates and billing-related questions. Provided accounts receivable and payment resolution support. Routed cases to appropriate departments for resolution. Maintained accurate and compliant documentation
Provided customer-facing transportation services with strong time management. Managed independent scheduling and consistent service delivery
Managed household operations, scheduling, budgeting, and logistics. Coordinated healthcare and educational needs. Strengthened organization, multitasking, and crisis management skills