Healthcare Support & Customer Service Professional

Supporting healthcare professional with experience assisting patients, healthcare providers, and insurance companies to ensure smooth and efficient care coordination working with major healthcare organizations like UnitedHealthcare and AdaptHealth, where I developed extensive skills in the Healthcare industry

Supported patients and healthcare providers by helping navigate insurance coverage, benefits, and authorization requirements. Verified insurance eligibility, reviewed coverage details, assisted with prior authorizations, and addressed claim related concerns to ensure patients received the services and medications they needed.

Coordinated and scheduled patient appointments while providing friendly and professional support. Assisted patients with booking, rescheduling, and confirming appointments, updated patient records, and ensured accurate communication between patients and healthcare providers.

Supported the claims process by reviewing, researching, and resolving insurance claims to help ensure accurate and timely payment of healthcare services. Worked closely with insurance companies, providers, and patients to address claim issues, verify information, and follow up on denied or pending claims.

Provided documentation support to healthcare providers by accurately recording patient encounters, medical histories, assessments, treatment plans, and other clinical information in the electronic medical record (EMR) SOAP notes. Assisted in maintaining complete and organized medical documentation, allowing providers to focus more on patient care while ensuring accuracy and compliance with healthcare standards.

Provided support in the prior authorization process by working closely with healthcare providers, insurance companies, and pharmacies to help patients receive timely access to prescribed medications and medical services. Reviewed requirements, gathered necessary documentation, submitted authorization requests, and followed up on pending cases.

Applied healthcare and medical insurance knowledge to support patients, providers, and healthcare operations. Familiar with medical terminology, healthcare procedures, insurance processes, prior authorizations, claims management, and patient care coordination.