I am a specialized Healthcare Customer Support and Insurance Verification Specialist who combines the technical precision of a former Apple Advisor with the revenue cycle expertise of a Senior Process Executive. With over 8 years of experience; including 4 years dedicated to US Healthcare BPO, I don't just "handle calls";
I resolve the complexities of insurance verification and claims to ensure your practice gets paid.
My background includes working with major payers like UnitedHealthcare and Premera Blue Cross. I am trained to spot the small errors in coding or documentation that lead to denials, and I have the "High Compliance" personality type that ensures I never cut corners on HIPAA or data integrity.
I have been working remotely since 2020, so I require zero hand-holding. I have my own equipment, a quiet workspace, and the discipline to manage high-volume workflows independently.
How I Can Help Your Practice:
- Eligibility & Benefits Verification: I can navigate commercial, Medicare, and behavioral health plans to verify coverage, deductibles, and out-of-pocket maxes before the patient walks in.
- Prior Authorization Management: I handle end-to-end intake and submission (especially for high-tech imaging/diagnostics), ensuring medical necessity criteria are met to prevent front-end denials.
- Claims Denial Resolution: I perform root-cause analysis on denied claims to fix eligibility errors and facilitate resubmission.
- Tech-Savvy Support: As a former Apple Tier 2 Advisor, I can troubleshoot my own tech issues and learn your specific EHR/CRM software rapidly.
Systems & Tools I Know:
- Payer Portals: Availity, UHC Link, Optum, Premera Blue Cross
- CRM/EHR: Facets, Salesforce, Genesys, other proprietary tools
- General: Microsoft Office 365, Google Workspace, Zoom/Teams/Slack
My Commitment to You:
I am looking for a long-term role where I can be a stable, reliable asset to your team. If you need someone who shows up on time, communicates clearly, and treats your revenue cycle with seriousness, let’s talk.
Verified
