Medical Records Specialist | Customer Service Representative
Philippines
Detail-oriented Healthcare Customer Service and Medical Records Specialist with experience in eligibility verification, claims denial resolution, escalation handling, and comprehensive medical records review. Skilled in analyzing insurance coverage, organizing clinical documentation, ensuring regulatory compliance, and maintaining strict confidentiality under HIPAA guidelines. Known for accuracy, efficiency, and delivering clear communication in complex healthcare environments.
Invitae, full_time
Oct 2023 to Nov 2025
Reviewed, verified, and organized medical records to ensure accuracy and completeness of patient information. Handled documents such as forms, charts, lab results, and summaries, preparing records for submission to designated insurance providers while maintaining strict confidentiality and HIPAA compliance.
Aetna, full_time
Sep 2021 to Mar 2023
Answering phone calls inquiries in a timely manner Greeting customers in a friendly professional manner using the suggested script. Furnishing members and health care providers with details regarding members insurance. Advising members of outstanding co- payments.