Customer Service Insurance Verification
Resume:
TYESHA SELF
****.******@*****.*** 504-***-**** Greensburg, LA 70441
Healthcare service professional with proven track record in patient communication and problem resolution. Adept at managing patient inquiries, coordinating with medical teams, and ensuring smooth service delivery. Strong focus on teamwork and adaptability, consistently achieving results even in high-pressure environments. Known for empathy, active listening, and effective conflict resolution skills.
• Insurance Verification • Patient Account Management
• Prior Authorization Process • Medical Billing Software
• Clinical Documentation • HIPAA Compliance Understanding
• Pharmacy Law • Customer Service
• Inbound and Outbound Calling • Claim Denial Resolution
• Pharmaceutical calculations • Call Center Experience Mar 2022 - Current
Insurance Verification
Specialist
Maximus Health Center -
Remote
Ensured compliance with HIPAA regulations while
managing sensitive patient information during the
verification process.
•
Assured timely verification of insurance benefits prior to patient procedures or appointments.
•
Contributed to office productivity by managing high volumes of inbound calls for insurance verifications.
•
Improved efficiency by streamlining insurance
verification processes for patient intake.
•
Jan 2021 - Mar 2022
Pharmacy Technician
Teleperformance - Remote
Answered incoming phone calls and addressed
questions from customers and healthcare providers.
•
Reduced medication errors through consistent
attention to detail and adherence to established
protocols.
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Assisted customers in navigating insurance claims, resulting in fewer denials and improved coverage
•
PERSONAL SUMMARY
SKILLS
EMPLOYMENT HISTORY
understanding.
Demonstrated adaptability through cross-training in various roles within the pharmacy setting to better serve customers as needed.
•
Jan 2017 - Jan 2021
Customer Service
Representative
Walmart - Denham, LA
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
•
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
•
Actively listened to customers, handled concerns
quickly and escalated major issues to supervisor.
•
Managed a high volume of 75 calls daily, maintaining composure under pressure while providing exceptional service.
•
High School Diploma
St. Helena College And Career Academy Greensburg, LA Aug 2024
Associate of Science: Healthcare Management
Ultimate Medical Academy Clearwater, FL
EDUCATION
#HRJ#c4fb3697-e12a-4cfb-a6f5-a425715ecda1#
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