Hi. I'm -----------, and it's always a pleasure to get the job done!
Main tasks I can help you with:
- Verify and provide accurate patient medical and dental insurance benefit(s);
- Request and follow-up medical authorizations via phone call, fax, and online portal;
- Request authorization reconsiderations and provider appeals; and
- Use different online portals (Trizetto, Blue E, Availity, UHC, Carefirst, Navinet, Carelon, Evicore, Health First)
Additionally, I:
- Have broad understanding of copay, deductible, coinsurance, coinsurance and out-of-pocket maximum;
- Recognize claim status and denial and lay out possible options to resolve the issue(s);
- Confirm refunds and member responsibilities in claims.
With these extensive solid experiences, these are some of the other tasks and qualities I have gained:
- Transfer caller, whenever necessary, to appropriate departments for further assistance;
- Sympathize to callers for varying reasons whenever necessary;
- Navigate through dual monitors with multiple tools to research needed information;
- Multitask and be organized; and
- Use Outlook, Emsow, and Clickup
I am a well-communicator and fluent in English with almost 2-year customer service professional experience for a huge U.S. health insurance account. As I value building rapport and maintaining productivity, these allowed me to enter my line of business' Quarter 4 of 2020's Top 10 Agents with the Highest Customer Satisfaction with an estimate of 91%.
Looking forward working with you,
----------- E.
Verified
