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Customer Service Representative
Healthcare call center customer service pro specializing in patient scheduling, insurance verification, and revenue cycle support.
United StatesCustomer Service Representative at Conifer Health Solutions
Managed 90–120 inbound calls per day supporting patients and members with billing inquiries, benefits questions, claims status, and prescription-related concerns. Verified insurance eligibility and prior authorization status, scheduled appointments, documented interactions in Epic and Salesforce, and resolved escalations while maintaining 95%+ QA and HIPAA compliance.
Inbound Outbound CallsPatient SchedulingAppointment CoordinationInsurance Verification
Handled 80–100 daily inbound and outbound calls supporting patient scheduling, follow-ups, referrals, and care coordination. Scheduled and confirmed appointments, processed insurance verification and benefits inquiries, maintained documentation using Cerner and Zendesk, and exceeded performance goals for AHT, CSAT, call quality, and resolution rates.
Inbound Outbound CallsPatient SchedulingAppointment CoordinationInsurance VerificationBenefitsCernerZendeskCare CoordinationEscalation HandlingQuality AssuranceAHTCSATData EntryIssue ResolutionRemote WorkHIPAA compliance
Responded to 70–90 daily inbound calls from members regarding coverage, claims, benefits, and care-related questions. Explained plan benefits and eligibility, supported appointment scheduling and care coordination, documented resolutions in CRM systems, de-escalated complex concerns, and participated in outbound wellness program outreach.
Inbound CallsMember ServicesBenefitsInsurance VerificationPatient SchedulingCare CoordinationHIPAA complianceEscalation HandlingDe escalationQuality AssuranceRemote WorkMultitasking
Earned a Bachelor of Business Administration at the University of Houston in Houston, Texas.
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