Customer Service Representative
Resume:
Diane Marie Simmons
Recruiter’s Summary
• Diane holds professional experience as a customer service representative/call center in healthcare Industry.
• Diane has excellent experience of handling inbound and outbound calls with Patients.
• Diane has provided insurance coverage, verification details prior authorization status and alternative funding options for existing and newly launched products.
• Maintained excellent customer service skills and phone etiquette with physician office and facility staff; verifying insurance eligibility and benefits
• Proficient in MS Office excel, word, Outlook, data entry, documentation, medical insurance, billing Medicaid and Medicare and medical records.
Education:
• University of Houston, TX, Certified Healthcare Collector
• Certified in medical insurance billing and coding, customer service. Summary:
• Experienced in medical insurance, billing Medicaid and Medicare and medical records. Self-starter, able to work in a team environment.
• 8+ years of experience in providing Customer Service.
• Experienced in making inbound and outbound calls.
• Proficient in collections and billing.
• Proficient with Microsoft Office. Local Candidate
• Excellent communication and interpersonal skills. 10+years of experience machine operator &production worker, assembly line worker.
• Experienced in machine operator, productions. Admitting representative environment. Professional Experience:
GC SERVICS, Houston, TX Jun 2017 - Jun 2023
Customer Service Representative III
Responsibilities:
• Inbound and outbound calling, Insurance verification, claim processing, Handling the inquiries.
• Resolving the issue. Responsible for entering data in an accurate manner.
• Maintained and monitored various records and reports. Documented customer concerns and forwarding complaint trends to the appropriate departments.
• Acquired job skills and learning company policies and procedure to complete routine tasks. Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual's provider.
• I also maintain excellent customer service skills and phone etiquette with physician office and facility staff; verifying insurance eligibility and benefits;
• Ensures all notifications and authorizations are completed applicable for patient accounts that are scheduled and/or unscheduled
Christus Health, Houston, TX Jun 2008 - Jun 2016
Customer Service Representative III
Responsibilities:
• Worked as a Customer Service Representative III, included data entry, handled inbound and outbound calls, used internal databases to answer customer questions and writing internal/external non-technical documentation. collector medical
• Inbound and outbound calling, Insurance verification, claim processing, Handling the inquiries.
• Resolving the issue. Responsible for entering data in an accurate manner.
• Maintained and monitored various records and reports. Documented customer concerns and forwarding complaint trends to the appropriate departments.
• Acquired job skills and learning company policies and procedure to complete routine tasks. Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual's provider.
• I also maintain excellent customer service skills and phone etiquette with physician office and facility staff; verifying insurance eligibility and benefits;
• Ensures all notifications and authorizations are completed applicable for patient accounts that are scheduled and/or unscheduled
Owens and Minor Health, Houston, TX Feb 2000 - May 2008 Billing and Collection Specialist
Responsibilities:
• Worked as a Billing and Collection Specialist, obtained and inputted accurate demographic and insurance information, on the Hospital Information System (HIS) on patients, Presenting at the various entry points of the Health Center.
• Adhered to all departments, hospital and governmental healthcare licensing requirements related to EMTALA and HIPAA.
• Performed cashiering functions, ensuring that all hospital accounts were secure, through the collection of the required co-pay, deductibles and co-insurance.
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