Eber - Customer Service Specialist with 5+ years in healthcare and client support

Provided high-quality support handling healthcare plan inquiries, claims concerns, and patient access management.

Mentored new team members and supervised quality monitoring, enhancing team effectiveness and operational standards.

Effectively communicated complex information with clarity to members, healthcare providers, and team members.

Utilized various system tools to manage high-volume scheduling, claims, and enrollment discrepancies efficiently.

Ensured adherence to healthcare regulations including HIPAA during all operations, both locally and internationally.

Assist members with general inquiries about their healthcare plans, Ensure every interaction is handled with accuracy, empathy, and compliance based on company policies such as HIPAA, Assist members with claims concerns, verifying benefits with accuracy and efficiency, Explain denials, billing...

Mentor new hires and upskill trainees on sharing best practices for handling complex claims and compliance processes, Act as the primary point of contact for escalated customer issues requiring expert resolution, Perform on 2 deployments to Philippines during October 2024 until July 2025 for...