Results-driven customer service and healthcare support professional with experience assisting members and providers while managing medical claims processing. Skilled in handling claim denials, rejections, and appeals, with a strong focus on accuracy, compliance, and timely resolution.
I have supported members with benefit inquiries, eligibility verification, and claims status, while also working closely with healthcare providers to resolve billing issues and ensure proper claim submission. My experience includes investigating denied claims, identifying root causes such as denial or documentation errors, and coordinating resolutions to improve turnaround time.
I am known for my strong communication skills, attention to detail, and ability to manage multiple cases in fast-paced environments. I am committed to delivering high-quality service and contributing to efficient healthcare operations.
Key strengths include:
• Medical claims processing and review
• Denials and appeals resolution
• Member and provider support
• Insurance verification and eligibility
• Documentation and compliance (HIPAA)
I am open to opportunities in customer service, healthcare support, and medical claims roles where I can contribute my skills and continue to grow professionally.
