Customer Service Representative (Healthcare)
Iloilo
Virtual Medical Assistant with experience supporting a U.S. primary care clinic and a Healthcare Customer Service Representative. Skilled in patient intake, appointment scheduling, phone reception, patient communication, insurance verification, claims, authorizations, and administrative follow-ups. Familiar with DrChrono EMR/EHR, Availity, NaviNet. Known for empathy, attention to detail, accurate documentation, and professional communication. HIPAA-compliant, adaptable, and committed to providing reliable administrative support and a positive patient experience.
Remote, part_time
Jan 2026 to Oct 2026
Supported daily operations at a U.S. primary care clinic by managing patient intake, appointment scheduling, confirmations, follow-ups, and referrals. Assisted with insurance eligibility and benefits verification using Availity and NaviNet, and contacted insurance companies via VoIP to clarify coverage and authorization requirements. Maintained accurate patient records using DrChrono EHR while adhering to HIPAA guidelines and protecting patient confidentiality.
Sagility, full_time
Jul 2025 to Jul 2026
Provided customer support for a U.S.-based Medicare and private health insurance account, assisting members with benefits, claims, coverage, authorizations, appeals, and provider billing concerns. Coordinated with healthcare providers to clarify billing issues, verify appointment availability, and obtain CPT/HCPCS codes for cost estimates. Documented grievances accurately while maintaining HIPAA compliance and meeting regulatory timelines. Achieved 100% Customer Satisfaction, 100% First Call Resolution, and an NPS exceeding 84% through empathetic communication and effective problem-solving.