Customer Service Representative
Resume:
BUSINESS MANAGEMENT
Proven Healthcare Customer Service Representative with a track record of
enhancing patient satisfaction and increasing first-call resolution rates at Results- CX/Solutran. Expert in patient confidentiality and problem-solving, adept at managing sensitive information in compliance with HIPAA. Collaborated effectively to refine customer service processes, demonstrating exceptional communication skills and healthcare industry understanding. Skills
Appointment Scheduling
Patient confidentiality
Data entry proficiency
Medical billing knowledge
Healthcare industry understanding
Medical terminology knowledge
Insurance Verification
Call center experience
Customer Service
Problem-Solving
Quality Assurance
Stress Tolerance
Work History
2022-09 - 2024-03 Healthcare Customer Service Representative Results-CX/ Solutran, Remote
Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care. Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements. MARY ALICE SMITH
****************@*****.***
4770 Pyburn Ext, Pocahontas, AR 72455
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Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record. Increased first-call resolution rates by carefully listening to customers'' needs and providing accurate information based on their inquiries. 2019-01 - 2021-03 Healthcare Customer Service Representative CVS Pharmacy, Remote
Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care. Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements. Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times. Collaborated with team members to identify areas for improvement in customer service processes, implementing changes as needed. Maintained designated portfolio of customer accounts by contacting customers behind on payment obligations.
Identified, analyzed, and researched systemic issues and made recommendations for resolution.
Education
High School Diploma
Florida Atlantic University - Florida
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