I hold a Bachelor of Technology degree in Electronics. My professional background encompasses over 9 years in the BPO industry as a customer service representative, 3 years focused on a telco account, where I managed customer inquiries about remaining minutes, processed top-ups via airtime cards or electronic payments, and provided troubleshooting for mobile device technical issues. I then spent 6 years specializing in medical healthcare, delivering critical information to providers, including eligibility, benefits, cost-sharing details, and claims status, while also processing claim adjustments. Following my BPO tenure, I worked remotely for more than 3 years, with a primary focus on medical and dental billing.
My unique combination of skills, adaptability, and dedication sets me apart. For being tech-savvy and up-to-date with industry trends, I am highly detail-oriented, capable of working independently with minimal supervision, and quick to adapt as a fast learner. I bring proven customer service expertise, with a track record of professional communication across patients, insurance representatives, and office teams. I am confident my skills will support smooth, accurate operations, and I am eager to contribute my problem-solving abilities and strong work ethic to your company.
Experience: 2 - 5 years
TELECOMMUNICATION SERVICE REPRESENTATIVE (ON SITE - STRAIGHT TALK WIRELESS) -We inform customers of their remaining minutes, add minutes via airtime cards or debit/credit cards, and provide troubleshooting steps for any mobile phone technical issues.
Experience: 5 - 10 years
MEDICAL HEALTHCARE SERVICE REPRESENTATIVE (ON SITE - HIPAA COMPLIANCE) - TELETECH COMPANY (WELLPOINT WEST - BPO) - Delivered accurate eligibility, benefits, deductibles, coinsurance, copays, and claim status details to providers. Effectively utilized AVAILITY and ORACLE-CCB to submit complex claim adjustments, ensuring full compliance with payer requirements.
Experience: 2 - 5 years
MEDICAL BILLING CLAIM POSTER (REMOTE - HIPAA COMPLIANCE) - Posted payments using IMAGINE and SIS billing software. Input complex data from Medicare, Medicaid, and Workers' Comp EOBs, balancing approved amounts, CPT denials, and patient liabilities with 100% precision.
Experience: 6 months - 1 year
DENTAL BILLING AR FOLLOW -UP (REMOTE - HIPAA COMPLIANCE) - eAssist - We call insurance companies or log into their portals to check claim status, whether for payment or denial. Once we get an update from a representative or the portal, we update our dental PMS (DENTICON, DENTRIX, and DENTRIX ASCEND) so the billing department knows the next steps for that claim.
Experience: Less than 6 months
DENTAL INSURANCE VERIFICATION (REMOTE - HIPAA COMPLIANCE) - eAssist - Conducted comprehensive insurance verification via payer portals and direct phone inquiries with insurance representatives. Obtained complete benefit breakdowns—including deductibles, copays, and coinsurance—and determined strict prior authorization requirements for medical services.
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