Rannie Resuello

About Rannie

Healthcare Customer Service Specialist with over 4 years of experience supporting U.S. healthcare members in a high-volume contact center environment. Experienced in appointment scheduling, eligibility and benefits verification, CPT code review, healthcare data entry, medical records retrieval, claims support, and provider communication. Skilled at coordinating with healthcare providers, pharmacies, and third-party vendors while maintaining HIPAA compliance and delivering exceptional member support. I am passionate about helping patients navigate their healthcare benefits and committed to providing accurate, compassionate, and efficient service in remote healthcare environments.

Skills

Experience

• Customer Service Representative at EXL supporting the UnitedHealthcare account.
• Coordinated physician appointments, specialist consultations, preventive care services, and non-emergency medical transportation (NEMT).
• Verified member eligibility and health plan benefits, reviewed CPT codes to determine service coverage, assisted with claims and prior authorization inquiries, retrieved medical records, and maintained accurate documentation in Microsoft Dynamics 365.
• Collaborated with healthcare providers and third-party vendors to resolve member concerns while consistently meeting quality, compliance, and productivity standards.