Dedicated and detail-oriented healthcare BPO professional with four years of experience in customer service, medical billing, claims management, and authorizations. Recognized for strong problem-solving skills, attention to detail, and navigating complex healthcare systems efficiently. Proven ability to collaborate with healthcare providers, social workers, insurance representatives, and internal teams to ensure accuracy, compliance, and seamless service delivery.
Skilled in handling customer inquiries related to claims, pharmacy services, insurance benefits, and authorizations, as well as managing overpayments, denials, and account receivables. Experienced in securing medical authorizations for skilled nursing facilities and ensuring timely approvals to support patient care. Proficient in maintaining accurate documentation, verifying insurance benefits, and applying contract rates in compliance with billing regulations.
Committed to delivering exceptional customer experiences, optimizing workflows, and driving operational success. Seeking to bring expertise in healthcare operations to a dynamic team focused on excellence and innovation.
