Interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. Responsibilities include determining the client’s issue, offer possible solutions or providing follow-up as needed. Major Job Duties and Responsibilities: Resolve customers’ service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills Contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments Refer unresolved customer grievances to designated departments for further investigation Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken Work Environment:Corp. environment - large org, small company feel

Assist patients over the phone to ensure accurate and timely resolution of service requests and activities is provided in accordance with the customer's health benefit coverage and company policy.Anticipate and resolve potential issues and follow through on commitments made to the customers.Research/adjust claims (i.e., Coordination of Benefits, no-fault, claim policy, authorizations, and referrals) in accordance with Plan contract provisions and all other governing policies and/or procedures.Provide resolution to identified overpayments utilizing various methods i.e., written correspondence, outbound call, or adjustment to a claim.Research and resolve Accounts Receivable (AR) issues to include the disposition of Cash Receipts in Universal Payment System (UPS).

Provide support to the Physician Data Management credentialing team to ensure practitioners are credentialed in a timely manner through inbound calls and email correspondence. Perform analysis and root cause review of errors to improve process and team's overall quality results.Ensure the expedient credentialing processes for new practitioners according to the regulatory/accreditation standards.Monitor and track daily inventory with Manager for work distribution and follow-up

Managed the needs/requirements of high utilization Professional and Institutional Providers through extensive follow-up procedures in a call center environment. Improved customer service based on client feedback through development of new policies and procedures.Assisted in the training and development of new customer service representatives.Prepared weekly trending and analysis reports for management.

Responsible for guest registration process and communication of hotel services and promotionsEnsure the management staff and hourly associates delivered the highest standards of service and hospitality. Directed the areas of the Front Desk, Housekeeping, Maintenance and Food & Beverage offering continuous support and training.Responsible for the inspection program to be consistently maintained