I’m a healthcare support professional with 3+ years of experience working for a U.S.-based company under Medicare and Prescription Drug Plans. I specialize in insurance verification, prior authorizations, claims resolution, and patient education. I’ve handled high-priority escalations, coordinated with providers, and ensured HIPAA-compliant service. Proficient in platforms like eClinicalWorks, Availity, and DrChrono. Known for being reliable, detail-oriented, and empathetic—ready to provide efficient and professional virtual assistance to patients and healthcare teams.
Experience: 2 - 5 years
Over 3 years of front-line service assisting U.S. healthcare members with escalated and routine concerns under HIPAA guidelines.
Experience: 2 - 5 years
Known for empathetic, clear communication with patients regarding benefits, appeals, authorizations, and coverage concerns.
Experience: 2 - 5 years
Over 3 years verifying medical and prescription benefits for Medicare and PDP members, including eligibility checks and coordination with providers.
Experience: 2 - 5 years
Skilled in reviewing and resolving claim issues, explaining EOBs, handling denials, and ensuring compliance with billing policies.
Experience: 2 - 5 years
Trained in the full billing cycle, including coding basics (CPT, HCPCS, ICD-10), payment posting, and revenue tracking.
Experience: 2 - 5 years
Experienced in submitting, tracking, and following up on medical and prescription prior authorizations across different payers.
Experience: 2 - 5 years
Trained and experienced in maintaining confidentiality and data security in all patient interactions and documentation.
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
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