Overview
Looking for full-time work (8 hours/day)
at $4.99/hour ($960.00/month)
Bachelors degree
Last Active
June 25th, 2026 (yesterday)
Member Since
March 29th, 2024
Profile Description
HEALTHCARE PROVIDER ADVOCATE (Call Center)
- Providing the member's insurance eligibility details, including the status of their insurance, as well as the start and end dates. Explaining the member's eligible benefits, including copay, coinsurance, deductible, and out-of-pocket maximum. Informing claim status, whether it is paid or denied, and the reason for the denial. Providing updates on the status of the appeal, including the reason it is upheld or not. If an appeal is denied, explaining the reason and what needs to be submitted for reconsideration. Creating authorization on the member's behalf.
MEDICAL RECORDS RETRIEVER
- Provider cleanup involves researching each provider’s location to find out if they have a centralized site where patient medical records can be accessed. We contact each location to confirm their fax number and check if they use an electronic medical records (EMR) system for retrieving charts. After verifying all locations, we send out medical record requests that clearly specify the documents or measures needed. Once the patient charts are received, whether through fax,
Top Skills
Customer Support » Insurance
Experience: 2 - 5 years
As a Healthcare Service Provider, I do provide eligibility information of the member, (checking policy is active or inactive), provide benefit coverage (checking the copay, coinsurance, deductible, ant out of pocket maximum of the service), provide claim status (checking claim is paid or denied and checking the denial reason of the claim), provide authorization status (checking if the procedure codes is approved or denied, how many units is approved and the clinical notes ), scheduling interpreter appointment, and lastly is providing claims appeal status.
Office and Administration » Admin Data Processing » Records Retrieval
Experience: 1 - 2 years
Provider cleanup involves researching each provider’s location to find out if they have a centralized site where patient medical records can be accessed. We contact each location to confirm their fax number and check if they use an electronic medical records (EMR) system for retrieving charts. After verifying all locations, we send out medical record requests that clearly specify the documents or measures needed. Once the patient charts are received, whether through fax, email, mail, or EMR, we carefully review and clean them by checking for missing information, fixing errors, removing blank pages, correcting orientation, and getting rid of any duplicate or inaccurate data from both electronic and paper records.
Other Skills
Basic Information
- Age
- 28
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Mandaue, Cebu
- Tests Taken
- IQ
- Score: 109
- Government ID
- Sign Up with Pro Account to View
“My life has gotten so much better. It changed my life, and I know it can change yours”
- Lukas Rohler
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