• Exceeded customer expectations by resolving over 80 cases daily through active listening and effective problem-solving.
• De-escalated tense situations with empathy and clear communication, ensuring positive customer experiences.
• Demonstrated versatility by handling diverse inquiries, including technical support and billing, with quick learning and problem-solving skills.
• Actively sought knowledge and collaborated effectively, adapting to any schedule to ensure team success.
• Answer incoming calls from healthcare providers regarding billing, claims, eligibility, authorizations, and other account-related inquiries.
• Utilize multiple computer systems and databases to research and resolve provider issues efficiently.
• Explain complex healthcare policies and procedures in a clear and concise manner.
• Identify and escalate complex or escalated issues to appropriate departments for resolution.
• Maintain accurate and up-to-date records of all customer interactions.
• Adhere to company policies, procedures, and quality standards.
• Participate in ongoing training to stay updated on healthcare industry changes and system enhancements.