Overview
Looking for full-time work (8 hours/day)
at $4.95/hour ($960.00/month)
Bachelors degree
Last Active
June 3rd, 2026 (4 days ago)
Member Since
July 5th, 2025
Profile Description
Healthcare Customer Service Specialist with over 7 years of experience in cash posting, insurance verification, payer communication, and end-to-end revenue cycle management. Currently serving as a Prior Authorization Specialist for one of the largest Pharmacy Benefit Managers in the U.S. Known for driving process improvements, optimizing workflows, and delivering accurate, timely results in fast-paced healthcare environments. Proven ability to solve complex issues, enhance operational efficiency, and support high-quality patient and provider outcomes.
Top Skills
Customer Support » Technical Support
Experience: 2 - 5 years
•Provided remote technical support to customers by diagnosing and resolving computer-related issues, including software, hardware, and account concerns. • Performed advanced troubleshooting and system optimization via secure remote access tools. • Created comprehensive and accurate case documentation in internal support systems.
Customer Support » Customer Service
Experience: 10+ years
Customer Support » Insurance » Prior Authorization
Experience: Less than 6 months
Experienced Prior Authorization Specialist with a strong background in pharmacy benefit management in the U.S. Skilled in handling prior authorization requests through fax, electronic prior authorization (ePA), and inbound/outbound phone communication. Knowledgeable in pharmacy technician duties, including medication review, insurance verification, and coordination with healthcare providers to ensure timely approval of prescriptions. Proven ability to work efficiently in high-volume environments while maintaining accuracy and compliance with regulatory standards.
Other Skills
Professional Services » Medical Services » Medical Billing
Experience: 2 - 5 years
• Verified insurance coverage and eligibility for accurate billing and approvals. • Ensuring accurate and timely records of payments, denials, and other financial transactions. • Contacted insurance providers to obtain original Explanation of Benefits (EOB) documents.
Basic Information
- Age
- 34
- Gender
- Male
- Website
- Sign Up with Pro Account to View
- Address
- CEBU CITY, CEBU
- Tests Taken
- DISC
- Dominance: 37
- Influence: 17
- Steadiness: 30
- Compliance: 16
- Government ID
- Sign Up with Pro Account to View
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