
A motivated, reliable and goal-oriented individual seeking a new opportunity. Once a dynamic Healthcare Customer Services with nearly 4 years of experience in high-volume healthcare administration. Proven expertise in end-to-end claim adjudication, eligibility verification, and ICD-10/CPT coding with a consistent 98%+ accuracy rate. Skilled at resolving complex billing disputes and navigating HIPAA regulations to ensure seamless service delivery. Adept at using Epic and Microsoft Excel to streamline workflows and improve member satisfaction scores. Eager to apply my strong work ethic, adaptability and willingness to learn in a role where I can contribute to team success and grow professionally
Healthcare service professional with proven track record in patient communication and problem resolution. Adept at managing patient inquiries, coordinating with medical teams, and ensuring smooth service delivery. Strong focus on teamwork and adaptability, consistently achieving results even in high-pressure environments. Known for empathy, active listening, and effective conflict resolution skills.
Computer/Software Skills: Proficiency in MS Office, Healthcare insurance tools
Data Analysis: Interpreting data, data mining, or reporting
Communication: Written, verbal, and presentation skills
Adaptability: Flexibility and willingness to learn new tools or processes
Problem-Solving: Critical thinking, analytical skills, and troubleshooting
Teamwork & Collaboration: Working effectively with others, interpersonal skills
Leadership: Project management, mentoring, and decision-making
Time Management: Organization, prioritizing tasks, and meeting deadlines
Attention to Detail: Accuracy, quality control, and conscientiousness