Customer Service Representative | Healthcare Support Specialist | Claims & Insur

My daily responsibilities include assisting customers with their inquiries, concerns, and requests through phone, email, or chat. I provide accurate information, resolve issues efficiently, and ensure a positive customer experience. I handle account-related concerns, explain processes and policies, document interactions, and collaborate with other departments when necessary to achieve timely resolutions. Strong communication, problem-solving, and customer service skills are essential in delivering professional and effective support.

Checked prior authorization status and ensured approvals were obtained before procedures Handled claim clarifications by coordinating with insurance providers and resolving discrepancies Investigated and followed up on denied claims to determine causes and next steps Determined authorization requirements for CPT codes to ensure compliance with insurance policies

My daily responsibilities include providing high-level administrative support to executives by managing emails, scheduling meetings, and organizing calendars to ensure smooth daily operations. I prepare reports, handle confidential information, coordinate communication between departments, and assist with follow-ups on important tasks and deadlines. I also help streamline workflows, arrange travel and logistics when needed, and ensure that priorities are met efficiently and accurately to support the executive’s productivity.

My daily responsibilities include reviewing and analyzing denied insurance claims to determine whether the denial was processed correctly. I identify the reason for the denial, verify claim details, and determine what documentation or information is needed for reprocessing. I also assist with expediting urgent claims when appropriate, coordinate with relevant departments, and ensure claims are handled accurately and efficiently to support timely resolution and payment.

My daily responsibilities include following up on outstanding payments from insurance companies and patients. I verify claim and billing information, identify reasons for delayed or missing payments, and work to resolve payment issues. I communicate with insurance representatives and patients regarding balances, payment status, and required documentation, while ensuring payments are accurately applied to accounts and records are updated accordingly.