I have 2 years of experience in the US healthcare industry, specializing in eligibility and benefits verification, resolving claim and appeals issues, and prior-authorization and referral follow-ups.
Services I Offer
1. Insurance Verification: Confir-----------mber eligibility, benefits, copays, and deductibles.
2. Claims Support: Resolve denied claims by identifying and fixing discrepancies.Track and update appeal statuses for timely resolutions.
3. Inventory Management: Handle reprocessing of incorrect claims and maintain accurate records
4. Communication :Fax letters to members and providers, as well as timely updates. Clearly explain claim statuses, appeals, and benefits to members.
5. Prior authorization, I coordinate with different internal departments to follow up on authorizations and referrals.
Tools & Systems Expertise*CRM & Platform: CITRIX, ASPEN, LIVE ENGAGE, DOFR, AVAILITY, FOBS, MARS, MEMBER 360, MAINFRAME, CONCORD, NEXGEN
*Office Tools: Outlook, Teams, Gmail, Yahoo, Google Suite, Microsoft, Spreadsheet
*Creative Tools: Canva, Wix, WordPress
Let's Work Together. I’m dedicated to optimizing your healthcare processes, enhancing communication, and delivering impactful results tailored to your needs.
Verified
