I am a Medical Customer Service Representative with 5+ years of experience in the U.S. healthcare industry, providing high-quality support to patients, providers, and healthcare teams. I have extensive experience handling inbound and outbound calls, assisting with insurance eligibility verification, EOBs, provider and facility participation, patient benefits (copay, deductible, out-of-pocket costs), and claim status while ensuring strict HIPAA compliance and patient confidentiality.
I also manage medication prior authorization cases by reviewing clinical notes and verifying patient, prescriber, and medication information including quantities, days’ supply, directions, and CPT, ICD-10, and HCPCS codes with accuracy and attention to detail to avoid oversight errors. I consistently meet and exceed performance metrics for call quality, accuracy, and resolution time while delivering empathetic, patient-centered service through strong communication and active listening skills.
I specialize in EMR/EHR systems, athenahealth, healthcare documentation, prior authorizations, and healthcare customer service support. I am highly organized, detail-oriented, adaptable, and committed to delivering reliable and efficient healthcare assistance in a remote work environment.
Available for full-time or part-time remote work during U.S. business hours or any time zone.