Insurance Verification, Claims Prior Auth Specialist | Healthcare VA
Camarines Sur
I am a dedicated and detail-oriented professional with experience in healthcare support, specializing in insurance verification, prior authorization, and resolving claim issues. I have strong attention to detail and a proven ability to review coverage, identify discrepancies, and ensure accurate and timely processing of claims and approvals. I am highly organized, reliable, and comfortable working in a fast-paced remote environment. I take pride in maintaining accuracy, meeting deadlines, and efficiently handling claim follow-ups, denials, and billing concerns. My strong communication skills allow me to work effectively with providers, insurance companies, and team members to resolve issues and ensure smooth operations. I am eager to continue growing in the healthcare field and to contribute my skills to a team that values efficiency, accuracy, and excellent service.
CONCENTRIX CVG PHILIPPINES, INC., full_time
Feb 2020 to Mar 2026
I bring strong analytical and problem-solving abilities, with a keen eye for detail in handling insurance verification, prior authorizations, and claim issue resolution. I am skilled at reviewing patient benefits, identifying discrepancies, and ensuring accurate documentation to minimize errors and delays. I have consistently demonstrated reliability, efficiency, and the ability to manage multiple tasks while meeting deadlines in a remote work environment. My ability to communicate clearly with insurance providers and healthcare teams helps resolve claim denials, follow-ups, and billing concerns effectively. My achievements include maintaining high accuracy in data handling, completing tasks within required turnaround times, and contributing to smoother operations by reducing claim errors and improving workflow efficiency. I am committed to continuous learning and always aim to deliver high-quality results in every task I handle.