As a tenured for almost 6 years in the company i was prove that commitment and dedication towards the given task can truly drive someone to be exceptional towards success.
Before i become a Quality Analyst i was a Customer Care Specialist-, i do verification of benefits (quoting of Dental Benefits), Checking existing claims (reviewing denial reasons,additional information needed, advising sending an appeal if needed, informing how, when, where did the payment was sent or if its cash or still outstanding,sending back if ever claim was processed correctly or if its sent to the wrong provider,Sending Explanation of remittance (EOR) when it was not received,handled provider relations call /credentialling (contract dispute, copy of fee schedule) and very much familiar with the terminologies/ADA codes.
Now that i am a Quality Analyst, i am the one who do the call observation, Auditing calls, do coaching with the Agents, touch base with the trainers and supervisors with regards to everyday updates, weekly huddle with teams, reminding real-time with their Markdowns, productions support/SME.
Everyday is a learning process for me and i can say that i will never get tired in pursuing my dreams with the help of my knowledge that i have right now.
