CSR/VA

I have been working as a Customer Service Representative for nearly 8 years, gaining extensive experience in both voice and non-voice accounts. In my role handling non-voice accounts, I assisted clients and patients with inquiries related to billing, ensuring their concerns were addressed promptly and accurately. On voice accounts, I managed incoming patient calls, facilitated payments, and handled provider and broker inquiries regarding submitted bills. This involved guiding them through member and patient benefits, explaining claim denials, and coordinating the resubmission of claims for further review. My ability to manage complex situations and provide clear communication has been a cornerstone of my success in this role.

I am a member of a product listing team in e-commerce, where I specialize in product research and copywriting. My responsibilities include creating compelling product descriptions for client stores by leveraging AI tools like Chat GPT, Claude and DeepL Translate, ensuring the content is tailored and optimized. I also possess basic proficiency in Canva, which I use for photo editing and designing promotional templates. In addition to my e-commerce role, I work as an Accounts Receivable Specialist on a Professional Billing team, managing professional claims. My duties involve addressing denied claims by contacting insurance providers to verify the reason for denial and requesting claim reviews when necessary, particularly for incorrect denials. I also prepare and submit reconsideration requests to challenge denials and conduct follow-ups on claim statuses after submitting reconsideration, appeals, or reprocessing requests. My experience spans across claims management, denial resolution, and ensuring accurate billing processes

part of customer service team who answer customer inquiry and complaint after sale