US Healthcare Insurance Verification | Billing Intake Specialist
Philippines
I have solid experience in healthcare operations, particularly in insurance verification, patient intake, and documentation review. My role has required me to ensure that patient eligibility, benefits, prior authorizations, and provider details are accurate and compliant before services move forward. I understand how critical accurate verification is in preventing claim denials, delays, and revenue loss. I bring strong attention to detail, process discipline, and a proactive mindset. I am comfortable navigating insurance portals, calling payers, reviewing coverage breakdowns (deductibles, co-insurance, out-of-pocket), and documenting clearly in EMR/CRM systems. I also understand HIPAA compliance and the importance of protecting patient information at every step. What makes me stand out is my ownership mentality. I don’t just verify coverage—I anticipate potential issues, flag discrepancies early, and communicate clearly with patients, providers, and internal teams to prevent downstream problems. With my leadership experience, I also understand workflow efficiency, quality monitoring, and continuous improvement. The value I bring to clients is reduced denials, faster turnaround times, improved data accuracy, and smoother patient financial experiences. I help protect revenue while maintaining compliance and operational efficiency.
Avail BPO Ph, full_time
Nov 2023 to Present
Verifying medical documentation, patient demographics, and insurance details with accuracy and compliance. ● Handled demo downloading, scheduling, and coordination between patients, providers, and internal teams. ● Assigned correct medical codes (CPT, ICD-10, HCPCS) and prepared claims for insurance submission. ● Supported the billing team in streamlining workflows and improving claim accuracy.
Optum Global Solutions , full_time
Oct 2022 to Aug 2023
● Provided support to senior members (65+) by assisting with healthcare plan and benefits inquiries, scheduling doctor appointments, coordinating transportation, and helping members get prescription refills from pharmacies. Ensured accurate member information, verified eligibility, and maintained confidentiality while delivering compassionate and professional customer service.
EEG Contact Services , full_time
May 2021 to Jun 2022
● Handled chat, email, and phone support for B2B kitchen equipment deliveries. Managed order tracking, administrative tasks, and coordination with logistics partners to ensure accurate and timely service. Collected delivery fees, maintained records, and served as the team’s main point of contact for client concerns and updates.