Assisted members with coverage, benefits, and eligibility inquiries in a high-volume call center environment. Reviewed medical and prescription (Rx) claims, ensuring accuracy and clear communication. Maintained strong customer satisfaction through effective problem-solving. Also assisted patients in booking appointments for X-ray, MRI, CT scans, and ultrasound services. Handled physician fees by explaining billing breakdowns and resolving patient disputes.
Experience: 2 - 5 years
Worked with UHG as an advocate where I assisted most of our members regarding their coverage and benefits. Also checked their medical claims but mostly focused on Rx claims. Also transferred to another project where we were sending medical record requests to healthcare facilities for Audit/HEDIS review.
Experience: 6 months - 1 year
I worked with Claimocity as a billing representative where I assisted our callers/patients to process the payments, explained billing statements and resolved disputes.
Experience: 1 - 2 years
The tasks that I've handled as a Spanish Bilingual were with Claimocity and Radnet.
“It definitely helped transform my business and take a significant load off for me.”
Samori Coles
SEE MORE REAL RESULTSOnlinejobs.ph "ID Proof" indicates if "they are who they say they are".
It DOES NOT indicate skill level.
ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.
It's intended to help employers know who they're talking to is real, and not a fake identity.