Healthcare CSR
Resultscx Lipa
Jan 2022 - Jan 2024 (2 years 1 month)
Healthcare Customer Service Representative experienced in handling claims, eligibility and benefits verification, disputes, and appeals. Skilled in assisting members and providers, reviewing claim details, and resolving coverage or billing concerns while providing clear and professional customer support.
- Managed high-volume client intake, data entry, and phone communication to resolve complex billing and healthcare inquiries with high communicative competence.
- Effectively handled escalations by providing clear explanations of coverage, benefits, and the appeals process to both members and healthcare providers.
- Demonstrated team leadership by conducting coaching sessions for fellow agents, ensuring team members were fully informed on