Diligent Caregiver offering 4 years of expertise providing in-home care, focused on providing optimal support to clients through personalized assistance and care required to manage diverse medical conditions. Proficient in organizing medications, doctor appointments and personal activities. Caring, organized, and friendly with excellent interpersonal skills.
Completing domestic duties, helping patients with self-care, hygiene and providing companionship. Friendly and engaging with strong attention to detail.
Motivated professional with experience in customer service and business acumen. Known for delivering exceptional customer support, technical guidance, and operational assistance. Demonstrates strong leadership, organization, and problem-solving skills.
Overview
1
1
year of professional experience
Work History
Claims Customer Service Specialist
Graceful Freeland Care Home
11.2024 - Current
Actively engaged in providing comprehensive services to residents and their families, including detailed information about care home facilities and resolving any complaints, thereby enhancing customer satisfaction and loyalty
Analyze and investigate claims for validity and coverage with all stakeholders involved
Prepare reports and document claims maintaining accuracy in the database
Collaborate with other departments to streamline claims processes and improve efficiency
Played a pivotal role in communicating with healthcare professionals, ensuring accurate and efficient management of residents' care data and coordination for optimal care delivery
Audit medical claims to ensure company reimbursement payments are accurate
Skilled in addressing and resolving residents’ and their families' concerns, contributing to a secure and s;p upportive living environment making sure they receive and understand their benefits
Proficiency in Microsoft Suite, ServiceNow, Zendesk, and Google Forms: Utilized various software tools for preparing performance reports, maintaining resident records, and scheduling appointments, showcasing technical proficiency
Employed advanced communication tools for internal coordination and to maintain seamless communication channels with healthcare providers
Using evaluation software such as CCC, Xactimate and XACT Contents
Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
Referral Coordinator-Remote(contractor)
Trinity Home Care
10.2023 - 10.2024
Excellence in managing patient referrals, ensuring seamless coordination with third parties, and maintaining high levels of patient and referrer satisfaction
Handled incoming calls from referral sources, patients, and third-party payers, providing clear and concise information and support
Collected and managed patient data, identifying critical information and reporting significant findings to nursing staff, showcasing attention to detail and accuracy in data handling
Addressed and resolved customer complaints online, applying conflict resolution skills to maintain service quality and customer trust
Provided emotional support to patients, demonstrating empathy and understanding in interactions, particularly during challenging situations
Effectively communicated with family members, powers of attorney, and senior patients through online channels, demonstrating proficiency in remote communication tools
Appointment Coordination: Efficiently scheduled patient appointments and provided timely notifications about appointment details, contributing to the smooth operation of the referral process
Education
No Degree -
Accounting
Zimbabwe
Skills
Customer Service Excellence
Team Collaboration
Process Improvements
Problem Resolution
Teams
Excel
Microsoft Suite
HubSpot
Claims support
Problem-solving aptitude
Analytical thinking
Multitasking Abilities
Patient
Compassionate
Communication skills
Adaptability and flexibility
Referrals
Rachael Chakanyuka, 704 705 0034
Donna Siachitema, 214 863 9119
Languages
Shona
Native language
English
Proficient
C2
Timeline
Claims Customer Service Specialist
Graceful Freeland Care Home
11.2024 - Current
Referral Coordinator-Remote(contractor)
Trinity Home Care
10.2023 - 10.2024
No Degree -
Accounting
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