EDI Analyst, Healthcare Customer Representative, Claims, Prior Auth

Customer-focused Healthcare Customer Service Representative with hands-on experience in benefits verification, prior authorization, and claims support. Proven ability to explain complex healthcare information clearly, resolve issues efficiently, and deliver empathetic service while maintaining accuracy and compliance in a fast-paced environment.

Guided and supported new hires through onboarding, product knowledge training, and call handling processes to ensure a smooth transition into operations. Provided ongoing performance coaching through real-time feedback, call evaluations, and structured coaching sessions to enhance communication skills, accuracy, and overall job performance.

Highly analytical EDI Analyst with a strong background in managing end-to-end electronic data interchange processes within the healthcare industry. Skilled in data mapping, validation, and error resolution, with a focus on maintaining data integrity and system efficiency. Demonstrates advanced problem-solving abilities and a commitment to continuous process improvement and operational excellence.