Good day! My name is Jaquelyn. In my previous role, I handled a high volume of calls, averaging at least 50 calls per day while assisting healthcare providers with insurance-related inquiries. As part of our standard process, I performed HIPAA verification before releasing any patient information to ensure compliance with privacy regulations. After verification, I checked patients’ eligibility and confirmed the provider’s participation status with the insurance plan. I also provided benefit inquiries, determined whether procedures required prior authorization, and guided providers in submitting authorization requests before the procedure. After submission, I followed up on authorization status to confirm approval. In addition, I managed claims-related concerns by verifying whether claims had been paid and reviewing insurance coverage to determine if unpaid claims were eligible for reimbursement.
