Health Customer Service Representative at Allegiance Benefit Plan Management (2025-11 – 2026-07)
- Answered telephone inquiries from plan participants, group contacts, and providers regarding self-funded and fully insured group health benefits and claims
- Provided clear and accurate responses to benefit and claims inquiries, ensuring a respectful and professional experience for all callers
- Documented all calls in Chronolog system, capturing key details for future reference and continuity of service
- Read and interpreted plan documents for numerous clients, reviewing new documents and amendments as added
- Assisted with claims payment research, including identifying and logging faxed claims and returning misdirected claims
- Supported team members with cross-training, provider record maintenance, and indexing of claim and correspondence batches
- Researched and processed refunds as assigned; contributed to daily workflow through punctual attendance and consistent production
- Met or exceeded company standards for production, quality, and assurance audits
Deduction Specialist at The Clorox Company (2019-10 – 2025-06)
Role concluded due to company-wide restructuring and budget cuts
- Managed high-volume inquiries, delivering timely resolutions while maintaining strong communication and professionalism
- Entered and validated detailed customer and account information with a high level of accuracy
- Collaborated across departments to resolve issues and improve workflow efficiency
- Utilized SAP, Salesforce, and Excel to track and update account activity
- Identified trends and implemented process improvements to enhance customer experience
Dispute Resolution Specialist at Office Depot (2017-06 – 2019-07)
- Handled high-volume inbound and outbound communications, resolving account concerns efficiently
- Coordinated with internal teams to ensure timely issue resolution and follow-up
- Maintained accurate documentation and provided clear explanations to customers
Collections Specialist at Urgent Medical Billing LLC (2016-11 – 2017-06)
- Managed patient accounts and processed 20+ claims daily across multiple insurance types
- Verified patient demographics and insurance coverage, ensuring accuracy for billing and scheduling readiness
- Communicated with patients and insurance providers to resolve account and claim inquiries
- Documented all activity thoroughly to maintain accurate patient records
Appeals Specialist at Advanced Recovery Systems LLC (2015-08 – 2016-11)
- Reviewed and processed medical claims and appeals in compliance with payer requirements
- Communicated with insurance representatives to resolve denied claims and obtain necessary details
- Maintained detailed and accurate patient account documentation
Appeal Resolution Team Lead at Wimbledon Health Partners (2014-08 – 2015-08)
- Oversaw workflow and ensured accurate tracking of patient account activity
- Supported team operations and productivity in a fast-paced healthcare setting
- Implemented tracking methods to improve efficiency and turnaround times