Healthcare Specialist | Real Estate Cold Caller

I have experience as a Real Estate Appointment Setter and Cold Caller for U.S.-based real estate investment companies. My responsibilities included contacting homeowners, identifying motivated sellers, gathering property information, qualifying leads based on motivation, timeline, and price, handling objections, and scheduling appointments for acquisitions teams.

Outbound calling, taking inbound calls, email communication, cold calling, coordination and scheduling according to campaign directives. In order to provide a fair and honest transaction, intermediary negotiating processes, and client consultation on market circumstances, prices, mortgages, legal requirements, and related matters. Obtains client/customer information; interviewing clients; and verifying information. Following up customer/client calls as required. Evaluating acquired information from customer/clients for submission and/or processing. Meets individual/team qualitative and quantitative targets.

I have strong experience in U.S. insurance verification, including checking patient eligibility, benefits, and coverage, reviewing claims and denied decisions, and guiding providers through appeals. I’m also skilled in authorization checks, credentialing assistance, and supporting providers with portal activation, login issues, and system navigation. I communicate clearly, explain complex insurance details in a simple way, and keep all information organized, accurate, and well-documented to ensure smooth case handling.

Working with Centene Corporation, a US healthcare insurance company, specifically working with Ambetter-Marketplace Healthcare Insurance. Take Provider calls and provide accurate, satisfactory answers to their queries and concerns. Reviewing member/patient’s benefits and eligibility information according to the needs of the provider for verification. Reviewing, providing option on making an appeal about medical claims that are denied. Reviewing the status of medical authorizations as well as checking status of appeal related to it. Checking credentialing status of the provider and providing options on how to join Ambetter’s network. Assisting provider with their web portal activation, verification, and trouble shooting some issues.