Customer Support Representative - Texan Insurance - TEXAS
(2025-02)
- Reviewed patient insurance information to complete benefit verification processes
- Triaged cases with missing information to the appropriate program associates
- Verified patient benefits and documentation across multiple payer plans, including coverage, cost-share, and provider options
- Identified restrictions and expedited patient access when possible
- Initiated prior authorizations, claims appeal, and other insurance-related processes
Customer Support Representative - GuideOne Insurance - TEXAS
(2021-05 - 2025-01)
- Accessing customer account and policy schedules
- Management and answering high volumes of inbound calls
- Providing customers with detailed information about products and policies
- Managing customer complaints and providing solutions to the requests and complaints of customers
Medical Biller - Passionate Care Home Health Agency - TEXAS
(2020-08 - 2021-04)
- Conducted accurate billing processes including charge, posting and claims submission resulting in maximized reimbursement for services rendered
- Implemented and maintained various billing programs including Medicare and Medi-Cal reviews, conducted audits to ensure compliance with regulatory requirements
- Collaborated with insurance providers to resolve claim denials and ensure timely payments
- Reports any reimbursement trends/delays to management
- Performs related duties and special projects as assigned
Volunteer - American Red Cross - TEXAS
(2020-03 - 2020-07)
- Helped with the sensitization of the local populace with information about safety measures and precautions
- Providing health and mental health services by answering questions by callers and provide wellness checks
- Assisting the first responders by providing them with support when needed
Customer Support Representative - Wendy's - TEXAS
(2019-05 - 2020-01)
- Manage large amounts of incoming Calls, emails and chats
- Identify and assess customers' needs to achieve satisfaction
- Build sustainable relationships and trust with customer accounts through open and interactive communication
- Provide accurate, valid and complete information by using the right methods/tools
- Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow upto ensure resolution
- Keep records of customer interactions, process customer accounts and file documents
- Follow communication procedures, guidelines and policies
Customer Support Representative/Data Analyst - Vip Desk Connect - TEXAS
(2017-09 - 2019-05)
- Manage large amounts of incoming Calls, emails and chats
- Led sales and marketing initiatives, resulting in revenue growth
- Build sustainable relationships and trust with customer accounts through open and interactive communication
- Organization and presentation of data correctly and with clarity
- Building sustainable relationships and trust between customers and the company
- Follow communication procedures, guidelines and policies