Customer Service Representative

Communicated with insurance providers to resolve denied claims and resubmitted. Posted and adjusted payments from insurance companies. Communicated effectively and extensively with other departments to resolve claims issues. Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience. Identified and resolved patient billing and payment issues. Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable. Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner. Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers. Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Collected payments and applied to patient accounts. Precisely evaluated and verified benefits and eligibility. Filed and updated patient information and medical records. Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.

Increased patient retention by providing compassionate assistance during appointment scheduling and follow-up processes. Promoted a welcoming environment by greeting patients upon arrival and providing assistance throughout the visit as needed. Enhanced patient experience with timely communication about appointment changes and delays. Optimized provider availability by routinely monitoring schedules for accuracy and balance of appointments across different service offerings. Participated in team meetings and trainings to continuously improve knowledge of practice offerings, policies, and procedures. Collaborated with medical staff to accommodate urgent care patients, ensuring prompt appointments. Streamlined office operations by managing daily appointment schedules for multiple healthcare providers. Maintained accurate patient records by diligently updating contact information and appointment history in electronic health record systems. Contributed to practice growth by promoting available services to prospective patients during initial interactions. Provided exceptional customer service by addressing patient inquiries and concerns in a professional manner. Reduced appointment cancellations through proactive follow-up calls and reminders. Facilitated smooth patient flow by coordinating check-in, insurance verification, and payment processing procedures. Ensured compliance with HIPAA regulations while handling sensitive medical information during scheduling processes and correspondence. Improved patient satisfaction by efficiently scheduling and confirming appointments. Assisted with administrative tasks such as filing, data entry, and office organization to maintain an efficient workspace for all staff members. Increased efficiency with thorough pre-appointment preparation, including gathering relevant medical documentation from referring physicians.

Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process. Assured timely verification of insurance benefits prior to patient procedures or appointments. Updated patient records with accurate, current insurance policy information. Made contact with insurance carriers to discuss policies and individual patient benefits. Complied with HIPAA guidelines and regulations for confidential patient data. Maintained strong knowledge of basic medical terminology to better understand services and procedures. Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities. Managed high-volume insurance verifications within pressured timeframes for productive medical operations. Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices. Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues. Assisted patients with understanding personalized insurance coverage and benefits. Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures. Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations. Achieved insurance pre-authorizations to enable timely patient procedures. Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes. Expedited patient registration process by efficiently validating eligibility for various insurance plans. Reduced errors in billing by accurately maintaining patient records with updated insurance information.