INSURANCE VERIFICATION SPECIALIST
Cebu
With a solid background in customer support, healthcare coordination, and administrative operations, I am confident I can deliver reliable, efficient, and compassionate assistance to your team and clients. I hold a Bachelor of Science in Computer Science, which gives me strong technical aptitude to learn new tools, manage systems, and troubleshoot basic issues easily. I bring over 6 years of combined experience: 2 years as a Healthcare Account Associate handling insurance eligibility checks, claims processing, appointment scheduling, and patient/provider communications while strictly following HIPAA standards; 4 years in customer service and sales where I managed inquiries, followed up on requests, and ensured clear, timely updates; plus experience as an Inventory Supervisor honing my attention to detail, organization, and task prioritization. I am skilled at managing calendars, coordinating schedules, handling correspondence, organizing records, and supporting both clients and internal teams with empathy and professionalism. I am fully set up for remote work with a reliable internet connection, dedicated workspace, and complete equipment, and I am flexible to adjust to your required shifts and workflows.
Wipro philippines, full_time
Mar 2024 to Apr 2026
• Receive and handle call inquiries from members and providers, accurately explain benefits, eligibility details, and EOB information. • Manage authorizations, referrals, and claims. Call patients to update schedule, auth, and preparations. • Resolve concerns and update appeals status. • Update member and provider records and information. • Escalate critical issues, process requests and documents. • HIPAA compliance trained.