Arriel Johnson Email & Phone Number

Serve customers in opening new accounts, updating current accounts, and closing accounts including, but not limited to, checking, savings, CDs and IRAsResearch and resolve customer problems, acting as the customer liaison between other bank departments when necessary.Evaluate customer requests for service charge refunds and enter data to process necessary paperwork to refund customer service charges as necessary.Executed data entry of customer information in Salesforce and Fiserv systems Facilitate IRA creation, rollovers, transfers, distributions, and account closing.Contact customers to obtain necessary signatures and documentation on accounts due to an exception or missing information.Actively participate in training programs to maintain and acquire additional job knowledge and skills.Research, analyze and investigate customer inquiries to ensure information captured on their credit profiles and accounts depict current and accurate informationFulfill requests from fraud and collections to research and resolve customers inquiriesWork with internal business partners to ensure information documented on customers accounts is accurate by performing account updates as neededRecognized credit card behaviors that presented high risk factorsAssists in new hire representative classes by mentoring and providing guidance with applying learned material to live call scenarios.In depth knowledge of banking products and account information.Adhere to company metrics every business quarter.Worked closely with supervisors to strategize ways for the entire team to meet metrics as a whole.Participated in the company's ERG programs.Hosted team meetings in absence of the team's supervisor.perform complex judgmental reviews of high risk activity to maximize approval of legitimate transactions minimize client impact at the point of sale, identify fraudulent activity and restrict account activity, when necessary, to avoid further risks

Knowledge of ICD-9, ICD-10 and CPT codesKnowledge of Managed Care, Commercial Insurances, and Medicare and Medicaid plansCalling Insurance payors, following up with Clients and Patients regarding financial obligations, etcMinimum requirement of 30-35 benefit inquiries dailyknowledge of Insurance benefits which includes deductibles, Co-Insurance, out of pocket, exclusions, and Prior Authorization requirementsContact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejectionsPrioritize orders that have been rejected for insurance reasons, working each order timely and accurately to ensure patient service standards are metClearly and concisely document all actions taken on each case to ensure all other verification teammates know the current status of each case Researched claim inquiries and billing codesReviewed 100+ weekly work orders and input data into the company database

Resolves product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution.Maintain financial accounts by processing customer payments (credit cards, bank accounts)Recommend potential products or services to customers by analyzing customer needs.Prepare product or service reports by collecting and analyzing customer information.Respond to incoming calls from our customers on issues related to benefit eligibility questions and account discrepancies Guide and educate callers on their prescription benefits, use of plan, formulary, premiums andstatus of orders and claims or inquiriesAsk appropriate questions and listen actively while documenting required information in computer systemsHave general knowledge of Medicare, Medicaid and commercial health insurance plansIdentify and resolve operational problems using defined processes, expertise and judgmentCheck source documents for accuracy and verify data when requiredFollow all internal security guidelines in accordance with HIPAA regulationAssist with their account, which includes setting up payment arrangements; identifying and gathering new insurance information, screening for charity, answering patients questions, and resolving any of the patients account issues, etcAbility to maneuver between multi screen systems.Verify insurance and follow-up with pending insurance.Maintain accurate and up to date information with account notes.Meet specified goals and objectives as assigned by management on a regular basisSystematic claims review experienceKnowledge and skills to create rules in an algorithm to ensure claims paid or rejected correctly

Associate'S Degree

High School Diploma