- Complaint / Issue Resolution
- Teamwork and Attention to detail
- Hard working and Highly Dedicated
- Creative and Goal Oriented
- Proficient in Basic Office Applications Software (MS Word, PowerPoint, Excel)
- Complaint / Issue Resolution
- Teamwork and Attention to detail
- Hard working and Highly Dedicated
- Creative and Goal Oriented
- Proficient in Basic Office Applications Software (MS Word, PowerPoint, Excel)
STI College Global City
2014-2018
I enter patient information into the system, assist with health-related issues, and ensure customer satisfaction. I stay updated on plan changes, provide benefits details to members and
healthcare practitioners, and process plan cancellations upon request.
I receive inbound calls to identify customer needs and issues, upsell products, and verify transactions for quality. I follow up on unresolved inquiries and build sustainable relationships by going the extra mile to engage customers and ensure their satisfaction.
I manage incoming calls and customer service inquiries, opening accounts and recording information. I request order overrides for eligible members, replace missing or damaged orders, and notify members about eligibility and benefits. I identify customer needs, clarify information, research issues, and provide solutions while tracking orders and packages.
I am responsible for communicating with medical providers, health insurance companies, attorneys, and lien holders via phone, fax, and email; negotiating lien resolution within firm-set parameters for clients; updating clients on case status; and organizing, collecting, and documenting sensitive personal information.
I conduct outbound calls to providers for medical authorizations and patient eligibility verification. I monitor prior authorization statuses, document communications per standards, ensure HIPAA compliance, and update authorization statuses and the Admin File Tracker to maintain accurate records and protect patient confidentiality.