Tomme - Customer Service Professional with 5 years in Healthcare Industry

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.

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