Skilled and compassionate Customer Service Representative with solid experience in the healthcare industry, specializing in Denial Management, Revenue Cycle Management (RCM), and Eligibility & Benefits Verification. Proven ability to handle high call volumes while delivering accurate and empathetic support to patients and providers. Expert in navigating insurance policies, resolving claim issues, and explaining medical billing processes with clarity and professionalism. Strong multitasking and de-escalation skills, with a focus on patient satisfaction and regulatory compliance. Adaptable, detail-oriented, and dedicated to improving healthcare service experiences through effective communication and process efficiency.
Experience: 1 - 2 years
Handles inquiries regarding medical benefits, coverage, and claims Ensures HIPAA compliance on every call
Experience: 1 - 2 years
Conducted outbound calls to clients with outstanding balances to negotiate payment arrangements Ensured compliance with Australian financial regulations and company policies Assisted customers in understanding their loan status and settlement options
Experience: Less than 6 months
“For years, I maxed out my hours, got burnt out, and the quality of my work would start to go down. I decided to take the leap, hire correctly, and now it frees up my time to focus on growing the business.”
Tyler Gies
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