I am a dedicated person with almost 8 years of professional experience in assisting customers in solving complex issues and providing excellent customer service in 3 different healthcare insurance providers. We provide benefits and eligibility information, Authorization status and denial reasons, Claim status and do thorough research on the denial so we can advise the provider to send what documents are missing for reprocessing and do demographic changes on the member's account. Also worked in a managerial position. Started as a Supervisor in Operations for 3 years and was promoted to CSAT Supervisor which focuses on customer satisfaction and first-call resolutions. After working with CSAT for almost 8 months, I got promoted as Assistant Center Manager to help with the new health insurance account in Teleperformance. I handled 8 supervisors and a total of 135 agents. I provide RCA and action plans directly to clients with high-level presentations and provide feedback on the trend and improvement level and performance of the cluster through Business Review. We provide updates to our people in regard to a new healthcare process to ensure that everyone is calibrated with the changes.
My current role is Member Care Advisor in Better Health Supplies and assigned to fax intakes, Inbound and Outbound calls for members, and order placing for DME Supplies
If you're looking for the most experienced person with little supervision or no supervision at all, I am the right person! Hire me and let's work together.
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