Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.
• Resolved high-level issues of the customer to meet customer satisfaction. Mitigating
possible complaint to avoid future possible abrasion.
• Handled customer complaints and resolved issues that can't be handled at the front line
level.
• Answered inbound calls from patients and providers to answer their health insurance
inquiries
• Provide explanation to the patient about the status of their claims and authorization.
• Educated patients about their copayment,coinsurance, deductible and Maximum out of
pocket benefits to make sure that they are well aware of their cost share prior doctor’s
visit and prior having certain healthcare services.
• Addressed patient’s question in Insurance Verification, Enrollment and Benefits (vision ,
hearing and dental) for patient’s to maximize their healthcare insurance benefit.
• Help patients to locate participating providers and help schedule their doctor’s
appointment
• Assisted patients in filing grievances and ordering over the counter medication to make
them feel that they are receiving the quality of care and service that the insurance is
offering.