Customer service representative

Attracts potential customers by answering product and service questions; suggesting information about other products and services. Opens customer accounts by recording account information. Maintains customer records by updating account information.

Chat Support refers to real-time communication between a customer and customer support agent via instant messaging, usually through a pop-up dialogue box built into a company's website. I been 8 months working in Optus as a live chat support.

Analyze patient procedural costs and adjust/retract insurance payments. Handle claims overpayments and ensure accurate processing. Verify patient insurance coverage, benefits, eligibility, and limitations. Review medical service requests for prior authorization. Mentor new hires and support team to meet production and quality standards. Prepare reports on claims not in open status and ensure HIPAA compliance.

Proficient in Microsoft Excel with the ability to manage, organize, and analyze data efficiently. Skilled in using formulas and functions such as VLOOKUP, IF statements, SUM, and pivot tables to generate accurate reports and insights. Experienced in data entry, data cleaning, and creating well-structured spreadsheets for tracking and reporting purposes. Able to create charts and visualizations to present data clearly, as well as maintain data accuracy and consistency. Comfortable working with large datasets, automating repetitive tasks, and improving workflow efficiency using Excel tools and features.

Experienced in healthcare claim processing within Revenue Cycle Management (RCM), ensuring accurate and timely submission of medical claims to insurance providers. Skilled in reviewing patient information, verifying insurance eligibility, and coding claims correctly to minimize errors and denials. Proficient in claim submission, tracking, and follow-up, including identifying and resolving rejected or denied claims. Knowledgeable in payment posting, reconciliation, and maintaining compliance with healthcare regulations and payer guidelines. Detail-oriented with strong analytical and problem-solving skills, ensuring claims are processed efficiently to support timely reimbursements and smooth healthcare operations.