Insurance Verification/Customer Support Medical account

Overview

Looking for full-time work (8 hours/day)

at $4.98/hour ($960.00/month)

Bachelors degree

Last Active

July 6th, 2026 (5 days ago)

Member Since

January 11th, 2025

Profile Description

create visual concepts, using computer software or by hand, to communicate ideas that inspire, inform, and captivate consumers. They develop the overall layout and production design for applications such as advertisements, brochures, magazines, and reports.
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I am trained in creating intervention materials, exams, quizzes, and worksheets for students at both the secondary and early childhood levels. I am proficient in using Schoology for online learning management and Canva for designing engaging instructional materials.
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Healthcare Customer Service Representative 2 years and 9 months
Key Responsibilities
? Managed high-volume inbound provider calls regarding benefits, eligibility, claims, appeals, reconsiderations, and prior authorizations.
? Researched and resolved claim denials by identifying root causes and providing corrective solutions.
? Escalated submitted documents via email to ensure timely resolution and compliance.
? Utilized Avaya, MedCompass, Availity, Document Viewer, Rumba, and Microsoft Office for call handling, verification, and documentation.
? Delivered accurate, empathetic support while maintaining efficiency and adherence to healthcare policies.
Key Achievements
? Consistently achieved 95%+ first-call resolution rate, reducing repeat inquiries and improving provider satisfaction.
? Recognized for maintaining average handling time below team benchmark, balancing efficiency with quality service.
? Assisted in reducing claim denial rates by 10?15% through proactive investigation and resolution strategies.
? Selected to handle priority escalations due to strong problem-solving and communication skills.
? Contributed to team success by mentoring new representatives on system tools and best practices.

?During my tenure, I was recognized for consistently exceeding performance metrics, including high first-call resolution rates and efficient handling times. My proactive approach to denial resolution helped reduce provider frustrations and improved claim outcomes.?