Medical and Behavioral Health Virtual Assistant

Provides quality customer service and support to customers on a daily basis., including phone interactions, problem resolution and account transaction processing in a timely manner. Investigates and correct errors in customer account and statements. Maintains correspondent accounts in accordance with applicable regulations and policies. Resolved billing disputes and errors, resulting in a 20% reduction in customer escalations. Assisted customers with opening and closing accounts, managing transactions and resolving discrepancies.

Contribute to team effort by accomplishing related results as needed. Keep records of customer interactions, process customer accounts and file documents. Compile reports on overall customer satisfaction. Handled customer complaints and inquiries in a professional and courteous manner. Worked in a team environment to ensure customer inquiries were answered promptly and accurately. Achieved 98% customer satisfaction rating to date. Proficient in providing accurate information regarding members’ eligibility, benefits, claims, and appeals. Assisted members in finding appointments directly with providers. Mentored and supported new team members with the process. Handled a high volume of daily calls addressing customer service inquiries and billing concerns Protected patient’s rights according to HIPAA guidelines. Oversaw all aspects of billing and insurance claims to ensure accuracy, compliance, and efficiency. Proficient in analyzing and validating transferred calls and created tickets to maintain accuracy, compliance, and operational efficiency. Recognized as Top 1 Team Member.

Assisted customers with the opening, closing and maintenance of accounts and provided information about products and services. Interacted with customers on a daily basis to answer inquiries and provide a high level of customer service.