I'm 28 years old and I'm a very hardworking, positive individual who will do my best as long as I am being treated professionally.
I'm a Customer Service Advocate for 5 years. I've worked in a Healthcare Insurance Company for 3 years from Anthem BlueCross BlueShield Medical Plans and now I'm 2 years and counting with Optum Global Solutions. My first 2 years with Optum I was a Customer Care Professional in a Behavioral Account and I was cross-trained into Government Members Services Account and then cross-trained again as a Pharmacy Helpdesk Specialist. We take inbound calls from healthcare professionals , members and pharmacies/pharmacist. We answer their calls regarding benefits inquiry, eligibility, authorization, claims processing information, prescription orders, prescription refills and claims billing information. We analyze claims problem then sent claims for processing and adjudication, we advise provider on how to bill a claim, we quote claim status, and determine eligibility and benefits. All process are via computer, we use Microsoft Excel, PowerPoint and Word to process our calls. I take an average of 60-70 calls per day.
I've gathered enough experience in Health Insurance billing and processes. I can guarantee my punctuality, hard work, integrity and quality of service to an interested client who is willing to take me as part of their team. I will take full responsibility to my work and to develop myself as a professional being with honesty and integrity.