Builds relationships with external partners to assist in negotiating delinquent accounts for clients.Provides oversight to client finances and determines the best plan of action for resolving client questions and requests.Utilizes various tools and resources to group together common debts from numerous clients in an effort to enhance strength of negotiations with a given agency.Employs a high level of time management and multitasking ability in order to effectively manage account queues.Consistently displays a passion for helping people with an outstanding focus on the clients' needs.

● Processed onboarding, re-appointment, and implementation applications on behalf of physicians, ensuring all were completed both timely and accurately. ● Reported the status of the applications in process to management and consistently updated the status of the application in the physician database. ● Determined any and all inaccuracies in the database and communicated with the credentialing team for quick resolution. ● Maintained professional communication with physicians and kept them informed of all outstanding documents and/or information needed. ● Maintained compliance with Joint Commission credentialing standards and Access TeleCare policies. ● Kept strict confidentiality of all physician files.Used time management and multitasking capabilities to resolve backlog issue in under two weeks.

● Conducted research to verify insurance coverage eligibility, authorization, and other related issues. ● Expertly developed, maintained, and updated benefit records utilizing Salesforce, Transunion, and CenterX. ● Handled sensitive customer information in accordance with HIPAA regulations and confidentiality requirements. ● Maintained up-to-date knowledge of current healthcare industry trends, practices, laws, regulations, and standards of care. ● Prepared written correspondence informing customers of their rights under applicable legal statutes. ● Utilized problem solving skills to resolve simple and complex issues related to benefit verification operations. ● Completed all work according to established quality control standards. ● Collaborated with external providers such as health plans and pharmacies to obtain required information for insurance verification purposes. ● Utilized knowledge of CPT codes, diagnosis codes, and medical terminology. ● Accurately reported adverse events as directed.

● Maintained accurate records of all claim activities in the database system. ● Drafted letters of denial or notification of payment once decision had been finalized on their claim. ● Performed quality assurance checks on outgoing payments for accuracy and completeness. ● Prepared detailed summaries of investigations for senior leadership review. ● Analyzed claims data to determine appropriate resolution of cases according to company policies and procedures. ● Provided excellent customer service to claimants by thoroughly explaining the claims process, answering all of their questions, and resolving any disputes that may arise. ● Collaborated with Underwriting, Accounting, and Legal departments as needed per claim. ● Participated in meetings with internal staff members and external customers and vendors regarding complex claims issues. ● Tracked trends in claim denials or delays in order to identify areas needing improvement within the organization's processes. ● Mentored new Claims Specialists on best practices and departmental procedures.● Developed new strategies for managing large caseloads efficiently while meeting deadlines.

● Managed escalated calls from clients regarding their delinquent accounts. ● Demonstrated ability to effectively manage a high volume of customer accounts and maintain accurate records. ● Initiated telephone contacts with delinquent customers according to departmental policies and procedures. ● Utilized strong verbal and written communication skills to interact with customers professionally. ● Established positive relationships with customers by providing excellent customer service. ● Utilized problem-solving skills to resolve customer disputes promptly and efficiently. ● Proficient in using various computer programs such as Microsoft Office Suite and collections software. ● Assisted customers with payment arrangements that fit their individual financial needs. ● Investigated customer complaints related to billing errors or discrepancies in a timely manner. ● Applied knowledge of collection laws, regulations, and procedures when collecting on past due accounts.

● Followed security protocols when opening and closing the branch office each day. ● Managed multiple currency types including foreign currencies when exchanging money for customers. ● Accurately processed loan payments, credit card payments, and other monetary transactions. ● Adhered strictly to all federal regulations related to anti-money laundering laws. ● Utilized excellent customer service skills to develop strong customer relationships and long term clients. ● Resolved customer complaints quickly and efficiently, maintaining positive relationships with clients. ● Cross-sold bank products to existing customers while meeting and exceeding sales goals set by management. ● Verified the accuracy of customer account information prior to processing transactions. ● Utilized banking software programs to process electronic fund transfers between accounts or initiate wire transfers. ● Ensured that all customer data was kept confidential according to bank policy standards. ● Maintained accurate records of all transactions for compliance purposes.

● Greeted visitors warmly and ensured they had a positive experience. ● Utilized Microsoft Office Suite to create professional documents for internal use or external distribution. ● Ensured reception area was clean at all times and stocked with necessary supplies. ● Scheduled conference rooms for meetings and special events as needed. ● Maintained confidentiality of sensitive information obtained through job duties. ● Provided superior customer service by responding to inquiries in an efficient and friendly manner. ● Assisted with administrative tasks such as filing documents and copying materials. ● Managed daily calendar appointments for staff members. ● Operated multi-line phone system efficiently while managing high call volume.

● Provided comprehensive customer service and technical support to branch staff and customers. ● Coordinated closely with internal departments to ensure successful resolution of customer inquiries. ● Participated in ongoing team meetings to discuss progress updates and strategies. ● Utilized excellent problem-solving skills to resolve customer issues quickly and efficiently. ● Trained users on how to effectively use various applications within the organization's systems. ● Utilized advanced computer knowledge to troubleshoot hardware and software problems. ● Identified areas of improvement in existing processes or procedures. ● Developed customized solutions based on individual customer needs. ● Ensured compliance with security protocols when handling sensitive information. ● Maintained accurate records of all help desk requests, solutions, and follow up activities.

● Analyzed, evaluated, and processed insurance claims to determine coverage, liability and damages in accordance with policy terms and state regulations. ● Conducted investigations into the cause of loss or damage, reviewed relevant documents and interviewed claimants to gather evidence. ● Handled difficult conversations professionally while maintaining composure during high-stress situations. ● Attended continuing education courses as required by licensing board to stay abreast of current trends in claims adjusting field. ● Performed quality assurance reviews on incoming claims to ensure accuracy of information before proceeding with adjustment process. ● Adhered to industry standards related to ethical practices when dealing with sensitive customer information. ● Effortlessly handled a high volume of inbound calls. ● Provided superior customer service by responding quickly and courteously to inquiries from customers regarding their auto insurance claims. ● Evaluated liability decisions to determine if coverage applies to a particular loss or situation. ● Processed high volumes of work efficiently while meeting established deadlines. ● Resolved customer complaints regarding auto insurance policies promptly and professionally.

● Negotiated payment arrangements with customers to ensure timely resolution of delinquent accounts. ● Maintained accurate records of collections activity including payments received and payment plans established. ● Processed manual payments received from customers accurately according to company policy. ● Developed and maintained effective working relationships with customers, colleagues, and management. ● Conducted research on debtor's financial situation in order to determine the best course of action for collecting past due balances. ● Ensured compliance with all applicable laws, regulations, and ethical standards related to collections operations. ● Utilized strong written and verbal communication skills to interact with customers professionally.

● Demonstrated strong problem-solving skills when resolving customer complaints or inquiries. ● Assisted customers with online account management including resetting passwords or troubleshooting issues. ● Provided exceptional customer service by responding promptly to client requests or questions. ● Analyzed customer needs to determine the best banking products and services to meet their requirements. ● Advised customers on various banking products such as mortgages, lines of credit, and investments. ● Developed detailed knowledge of banking regulations and procedures. ● Performed data entry for customer accounts and updated records in the database. ● Handled a high volume of inbound calls ● Consistently exceeded metrics goals

● Maintained accurate records of all financial transactions. ● Assisted customers with opening new accounts, applying for loans, and resolving disputes. ● Provided excellent customer service in a high-volume banking environment, including cash handling and account inquiries. ● Resolved customer complaints in a timely manner while maintaining the highest level of professionalism. ● Performed daily balancing of cash drawer and ensured accuracy of all bank documents. ● Processed deposits, withdrawals, transfers, loan payments and other transactions accurately and efficiently. ● Adhered to strict compliance standards for banking regulations such as KYC and AML policies. ● Demonstrated proficient knowledge of bank products and services to meet customer needs. ● Issued cashier's checks, bank checks, money orders and traveler's checks. ● Assisted management in bank opening and closing procedures. ● Complied with BSA, CRA, fair lending, and other compliance issues as required by policies and procedures. ● Greeted customers with professionalism and friendly and courteous demeanor. ● Contributed to fraud detection support, documenting suspicious activity and reporting flagged transactions. ● Balanced cash drawer and maintained full accountability for assigned cash on hand.

● Performed cashier duties such as counting money, separating charge slips, coupons, and vouchers. ● Ensured cleanliness of checkout area by wiping down countertops, sweeping floors, and stocking shelves with merchandise. ● Developed strong product knowledge to answer customers' questions about merchandise, pricing, and availability. ● Verified that all prices were accurate before ringing up purchases. Provided excellent customer service by greeting customers, answering their inquiries, and resolving any complaints in a timely manner. ● Trained new employees on proper POS system usage and operations. ● Answered incoming phone calls promptly and professionally while providing helpful information or directing callers accordingly. ● Balanced cash drawer at end of shift for accuracy in accordance with established procedures. ● Processed returns and exchanges following company policies while providing exceptional customer service. ● Packaged and bagged goods for customer convenience. ● Issued gift receipts when requested to provide recipients with easy return options. ● Monitored checkout area to identify possible thefts.