Customer Service Representative | Medical Billing VA

As a frontline worker dedicated to assisting customers and clients, I prioritize excellence in all my endeavors. Drawing from my extensive years of experience, I have grown to become a team leader, handling supervisory calls and providing clients with comprehensive solutions to address their concerns. When I decided to transition to a new company, I ensured that I secured one of the greatest position available, leading me to apply for the role of Quality Assurance Analyst. As a QAA, my responsibilities encompass reviewing calls to ensure that all representatives perform their duties adequately. Additionally, I take it upon myself to offer best practices and coach them towards achieving successful metrics.

• Answering incoming call from nurses, doctors and authorized representative from their organization to check their submitted claims. • Inform clients/providers of the denial reason of the claim submitted. • Providing and guiding them on how to submit claim reconsideration and appeal to make sure that the claim will be paid. • Providing excellent assistance to the providers with regards to the clients benefits and medical coverage. • Helping providers in submitting an authorization request on behalf of the clients. • Reviewing and posting paid claims and denial reason.