Aeonette C.

Provided comprehensive support for Medicare (United States) members, focusing on healthcare insurance issues while ensuring a respectful and empathetic interaction. Addressed inquiries related to insurance billing, verified benefits, conducted CPT and procedure code checks, managed referrals, and processed prior authorizations for necessary medical procedures. Assessed claims-related matters by examining documentation and facilitating follow-ups to promote accurate processing. Maintained compliance with HIPAA regulations and data privacy standards while handling confidential personal and medical information. Served as an Agent Support / Advocate Coach for a period of 6 months, offering guidance on processes, call management support, and quality enhancement initiatives. Consistently achieved the required quality, productivity, and compliance metrics outlined in internal evaluations. Participated in various training sessions focused on healthcare to improve technical knowledge and operational efficiency.