Experienced healthcare professional with a strong background in medical billing, prior authorization, provider credentialing, and patient support coordination. Proven ability to navigate complex insurance processes, including state-funded and commercial plans, with a focus on pain management and outpatient pediatric therapy services. Skilled in managing provider enrollments, claims adjudication, compliance, and facilitating communication between healthcare providers, insurance companies, and patients to ensure timely and accurate processing of medical requests.
Adept at coordinating administrative tasks in remote and virtual settings, with a keen attention to detail and a patient-centered approach. Demonstrated expertise in supporting healthcare clients from both the insurance and provider perspectives, optimizing workflow efficiencies and ensuring regulatory compliance. Committed to improving healthcare outcomes by streamlining prior authorizations, enhancing client support, and providing reliable virtual assistance in medical environments.
Experience: 6 months - 1 year
I do have experience with medical and prescription claims and copayment determination depending on a clients plans/benefits.
Experience: 1 - 2 years
Experience: 2 - 5 years
Experience: 2 - 5 years
Experience: 1 - 2 years
I have been an BPO agent for Food Delivery and Health Insurance.
Experience: 6 months - 1 year
I do have experience with member portal support for Health Insurance's customers.
“There are just so many skills that the Filipino market has that they bring to the table. It's been amazing.”
Samori Coles
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