Outline
Looking for Freelance work (40 hours/day) at $4/hour
Bachelor's Degree
English proficiency Fluent
Professional Summary
HIPAA-certified professional with 2 years experience in healthcare customer service and administrative support.
Skilled in Eligibility and insurance verification,
• Enrollments and terminations of patient account across different benefit plans,
• Management of Rejected/Denied Claims and appeals
• Monitoring of Prior authorizations
• Using of EMR / EHR systems
• Requesting and Reviewing of Medical documents
• Providers, Patients and insurance communication
• Appointment scheduling , sending reminders and coordinate follow ups
Skills & Experience
Skills
Experience highlights
•Coordinated with provider offices to ensure timely submission of required documents for billing or claims processing and compliance.
•Manage appointment scheduling, confirmations, reminders, and follow-ups—ensuring smooth communication and a positive experience.
medical and dental coverage.
•Processed inquiries about denied or rejected Claims and Appeals.
•Addressed prior authorization requests and related concerns.
• Process or audit new Enrollment, changes, and Terminations for participants across multiple benefit plans administered by the TPA
• Monitor enrollment deadlines and ensure compliance with applicable laws and
regulations (e.g., ERISA, HIPAA, ACA)
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