I am a dedicated person with almost 4 years of professional experience in assisting customers in solving complex issues and providing excellent customer service in 2 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, do demographic changes on the member's account and checking billing inquiries and processing payments for their health insurance. Started as a Customer Service Representative for almost a year and was promoted to Quality Analyst which focuses on monitoring the quality of the calls from by agents. After working with QA Department for almost 7 months, I got promoted as Operation Supervisor with the same company, Teleperformance. Handled almost 50 agents throughout my supervisor position. Provide RCA and action plans directly to ACM (Managers) with high-level presentations and provide feedback on the trend and improvement level and performance of the team 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.
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.
