A dedicated Healthcare Support Specialist with over 7 years of experience in the healthcare BPO industry. I have strong expertise in benefits eligibility, claims processing, prior authorization, insurance verification, and customer service support.
I have worked with both voice and non-voice healthcare accounts, handling inbound and outbound inquiries fro-----------mbers and providers. My experience includes verifying insurance coverage, processing claims, resolving billing concerns, and reviewing prior authorization requests for inpatient and outpatient services. I am highly efficient in fast-paced environments while maintaining accuracy and professionalism.
I am knowledgeable in U.S. healthcare systems, including medical terminology, claims workflows, and insurance processes involving Medicare, Medicaid, and private insurers. I strictly follow HIPAA guidelines to ensure patient confidentiality and proper documentation.
I bring strong communication, problem-solving, and customer service skills. I am detail-oriented, reliable, and empathetic when assisting patients and providers. I am also adaptable and eager to learn new tools and processes to deliver the best results.
I am committed to providing high-quality service and contributing to the success of the team.
