Customer Service Representative (Healthcare)
NA
May 2024 - Jul 2024 (3 months)
Handled billing inquiries from members, providers, and insured clients, providing clear explanations of charges, balances, copays, deductibles, and plan benefits. Reviewed member accounts and medical claims to identify discrepancies, process necessary adjustments, and ensure accuracy in billing statements. Guided members through payment processes, available methods, deadlines, and financial assistance options when applicable. Documented all interactions in CRM systems and internal platforms, ensuring complete and accurate records for case follow-up. Escalated complex billing issues to the appropriate department for further investigation or claims resolution support. Explained insurance benefits and coverage details, assisting members in und