I am an experienced Customer Support Representative in Healthcare International account. I am exposed in handling patient benefit verification, obtaining prior authorization for in-patient and out-patient services. Some of my responsibilities are:
-Verify patient insurance coverage and benefits prior to services being rendered.
-Explain coverage specifics, including co-pays, deductibles, and exclusions
-Assist with filing claims and following up on pending claims to ensure timely processing.
-Act as a liaison between patients and insurance companies to resolve problems.
-Educate patients on their insurance options, helping them understand the best coverage for their needs.
-Ensure compliance with healthcare regulations and privacy laws (e.g., HIPAA).
-Stay updated on changes in insurance policies and healthcare laws that may impact patients.