Resolution Specialist Enrollment
Resume:
Renata A. Toon
** ******** *****, ******, ** ****7
**********@*****.***
HIGHLIGHT OF QUALIFICATIONS
Experience in customer service. Problem solving. Team oriented. Effective in applying State and Federal rules, regulations, policies, and procedures. Ability to adjust to shifting priorities. Ability in the handling of high volume in-bound and out-bound telephone calls. Skill in effectively handling diverse work issues. Very good communication skills.
Employment History
Apr 2017–Apr 2021
Patient Resolution Specialist, HBCS, New Castle, DE
Managed high volume of in-bound and out-bound calls from patients, hospitals, and insurance carriers to resolve patient accounts and collect payment.
Researched alternate insurance or payment options available while navigating and updating multiple patient accounting systems.
Interfaced with insurers to reach a best settlement for their accounts.
Assessed caller status to ensure the protection of patient privacy and compliance with State and Federal guidelines.
Mar 2015 – Jan 2017
Customer Service Specialist, Discover Card Financial Services, New Castle, DE
Maintained records of customer interactions or transactions. Recorded details of inquiries, complaints, and final resolutions.
Accessed ad utilized multiple systems to respond to, troubleshoot, and document customer inquiry.
Provided industry-leading care and innovative solutions to customer financial
Apr 2004 – Feb 2015
Enrollment Specialist, Blue Cross Blue Shield Delaware (Highmark), Wilmington, DE
Established a long-term trusted advisor relationship with assigned clients and direct them on a continued valued service.
Tracked and maintained client’s current information to present on the operations of the company.
Reviewed complex or unusual problems/situations and sensitive cases and present to management.
Jan 2002 -Apr 2004.
Provider Services Representative, Coventry Management Services, Wilmington, DE
Received incoming calls from billing providers for two major Medicaid programs,
Responsible for follow-ups; researched and reported information to medical claims.
Analyze and resolved claims issues.
Education
Bachelor of Science: Business Management
Delaware State University, 2003
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