Healthcare Billing
Specialist with US healthcare experience in claims, denials, and payer follow-ups, supported by a strong background in healthcare customer service and remote operations.
Experience: 1 - 2 years
Experienced Healthcare Customer Service Representative with a strong background supporting US healthcare members. Proven ability to manage high-volume inbound calls (40–60 calls per day) while maintaining professionalism, accuracy, and strict compliance with quality and HIPAA standards while maintaining 95% Q.A. Highly skilled in resolving complex healthcare-related inquiries, including insurance claims, provider lookup, eligibility concerns, and medication assistance. Trusted to handle escalated calls, de-escalating issues effectively and providing resolutions that balance member satisfaction with company policies.
Experience: 6 months - 1 year
Healthcare Billing Specialist supporting US-based providers through claims management, denial resolution, and authorization follow-ups. Strong background in working complex claims and denials, identifying root causes, and taking corrective actions to ensure timely and accurate reimbursement. Highly experienced in payer follow-ups and portal navigation, regularly using platforms such as Availity, ePaces, Compass, NaviNet, and other payer-specific portals to verify claim status, submit corrections, upload documentation, and track authorizations. Proven ability to improve reimbursement outcomes through persistent AR follow-ups, denial analysis, and proactive payer communication, contributing to significant improvements in payment turnaround and overall collections. Detail-oriented, reliable, and effective in a remote healthcare billing environment.
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