For the last 3 years, I have been honing my experience in a call center industry— in which I handled US Healthcare account for both members and Provider services.
In member services, I handled Insurance Verification, Prior authorization, setting up transportation ride for a patient going to the hospital and returning back to their home. Doctor's appointment scheduling, Checking the patient's premiums, Processing Grievance and Appeals and Medication refills.
And in Provider services, I handled credentialing status, checking the eligibility and benefits of the patient, checking the status of prior authorization, and if Prior authorization and PCP referral is required or not. And also, I processed the authorization and fax it to the provider's office. I also checked the claims status and Appeals' status, and processing the GAP exception.
I also have HIPAA certification and I have a knowledge using CRM, Google workspace, Microsoft 365, Availity, Salesforce, Genesys, Avaya, Citrix workspace, VPN, zoom,
Experience: 2 - 5 years
I have an experience in Insurance Verification and Checking the Eligibility and Benefits of the patient.
Experience: 2 - 5 years
I helped out Patient set up their Doctor's Appointment.
Experience: 2 - 5 years
I am a HIPAA Compliant
Experience: 2 - 5 years
I helped providers check their credentialing status
Experience: Less than 6 months
I am knowledgeable in US Medical Terminologies.
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