Dedicated and results-driven professional with 7 years of experience in the BPO industry, specializing in customer service support, healthcare operations, and prior authorization management. Proven ability to deliver exceptional client and patient support in fast-paced environments, combining strong communication skills with in-depth knowledge of medical processes, insurance verification, and administrative coordination.
Key areas of expertise include:
Customer Service & Client Relations: Handled high-volume inbound and outbound calls, providing excellent service, resolving inquiries efficiently, and maintaining high customer satisfaction scores.
Medical Support & Prior Authorization: Experienced in processing prior authorizations, verifying insurance eligibility, reviewing medical documentation, and communicating with providers and payers to ensure timely approvals and accurate billing.
Revenue Cycle & Administrative Support: Assisted in claims processing, payment posting, and denial management while maintaining compliance with HIPAA and payer regulations.
Technical Proficiency: Skilled in using EHR and CRM systems such as BCBS Portal, Cigna Portal, CPR+, Availity, and Microsoft Office Suite to manage records and workflows.
Team Collaboration & Virtual Work: Adaptable and dependable professional experienced in remote and hybrid environments, collaborating with cross-functional teams to meet service goals and turnaround times.
Known for professionalism, accuracy, and a strong commitment to quality, I bring a balance of customer service excellence and healthcare administrative expertise that supports both patient satisfaction and operational efficiency.
