Customer Service Representative
Pangasinan
Dedicated and detail-oriented Healthcare Customer Service Representative with experience assisting providers and members with eligibility verification, benefits inquiries, claims support, prior authorization status, and healthcare portal navigation. Skilled in delivering exceptional customer service, resolving concerns efficiently, and maintaining HIPAA compliance while handling sensitive healthcare information. Seeking opportunities as a Healthcare Virtual Assistant where I can utilize my healthcare knowledge, communication skills, and commitment to providing excellent support.
COGNIZANT PHIL, full_time
Nov 2025 to Present
Assisted healthcare providers and members with insurance-related inquiries. Verified member eligibility and benefits. Provided claim status updates and claim processing information. Guided providers in using the Availity portal for eligibility, claims, and authorizations. Resolved escalated concerns while maintaining excellent customer service standards. Documented all interactions accurately and efficiently. Maintained compliance with HIPAA and company policies.
FOUNDEVER, full_time
Jun 2019 to Jul 2023
Assisted healthcare providers and members with insurance-related inquiries. Verified member eligibility and benefits. Provided claim status updates and claim processing information. Guided providers in using the Availity portal for eligibility, claims, and authorizations. Resolved escalated concerns while maintaining excellent customer service standards. Documented all interactions accurately and efficiently. Maintained compliance with HIPAA and company policies.