Customer Care/Service Representative

Overview

Looking for part-time work (5 hours/day)

at $4.56/hour ($545.46/month)

Bachelors degree

Last Active

June 5th, 2026 (7 days ago)

Member Since

July 29th, 2025

Profile Description

I’m a detail-oriented and compassionate healthcare support professional with over 4 years of experience in U.S.-based BPO accounts, specializing in insurance verification, pharmacy prior authorization processing, and medical claims review.

Skilled in navigating payer portals, resolving escalations, and maintaining strict HIPAA compliance, I’ve successfully supported both providers and patients with a focus on accuracy, empathy, and efficiency. I’m also well-versed in handling high call volumes and chat-based communication.

With a strong background in customer service from my time at Amazon (Startek Iloilo) and CarelonRx, I bring a proven ability to deliver quality support under pressure. Whether you're seeking help with back-office healthcare tasks or front-line communication, I’m here to provide reliable, confidential, and high-quality service.


Core Skills:
- Insurance Eligibility Verification
- Medical Claims Processing & Resolution
- Prior Authorization (Commercial & Medicare)
- ICD-10, CPT, and HCPCS Coding Familiarity
- HIPAA Compliance & Patient Confidentiality
- Automated Home Delivery (AHD) Prescription Fulfillment
- Member & Provider Support (Phone, Email, Chat)