Healthcare Insurance VA | Claims, Eligibility, Prior Authorization & Customer Su

I have over 4 years of customer service experience across healthcare, telecom, and retail. I handle calls, chats, and emails, resolving account, billing, and order issues. Skilled in claims processing, benefits verification, and HIPAA compliance, with proven ability to deliver accurate, professional support and high customer satisfaction.

Proficient in Microsoft Excel for accurate data entry, record keeping, organizing customer and claim details, sorting/filtering information, and creating clear, updated reports. Skilled in maintaining clean, error-free spreadsheets to support daily operations and compliance.

Skilled in insurance claims processing, including reviewing claims, verifying member eligibility and benefits, and ensuring accurate coverage determination. Experienced in handling prior authorization, correspondence, and dispute resolution, while strictly following HIPAA standards to maintain data security and compliance.

Experienced in using Zendesk to manage customer tickets, track inquiries, update account details, and document resolutions accurately. Skilled in organizing support requests, ensuring timely responses, and maintaining clear records for efficient service delivery.

Experienced in Walmart account live chat support, handling 40+ daily inquiries on orders, delivery, refunds, and products. Fast, clear written communication, accurate updates in CRM, and achieved 96% customer satisfaction.

Skilled in accurate data entry, updating customer records, claim details, and account information into CRM and internal systems. Maintains organized, error-free documentation and ensures data integrity while following compliance standards.

Experienced in managing prior authorization requests, coordinating with providers to secure timely approvals, and verifying coverage requirements. Ensures all processes follow compliance and HIPAA standards for accurate and efficient results.

Proficient in using CRM systems to manage customer data, update records, track inquiries, and document interactions accurately. Ensures organized information, easy access to details, and efficient tracking of resolutions.

Skilled in email support, responding to inquiries clearly and promptly, resolving concerns, and providing accurate information. Ensures professional communication, organized records, and timely follow-ups.

Experienced in healthcare support, specializing in insurance claims, benefits verification, and prior authorization. Strictly follows HIPAA rules, handles sensitive data securely, and manages provider and member inquiries accurately.

Skilled in administrative support including data management, record keeping, email handling, and task coordination. Organized, detail-oriented, and ensures accurate documentation and smooth daily operations.

Proficient in Google Workspace tools including Docs, Sheets, Gmail, and Drive. Skilled in creating documents, organizing data, managing emails, storing files securely, and coordinating tasks efficiently to support smooth daily operations.

Proficient in organizing and managing schedules, coordinating appointments and meetings, and ensuring timely planning. Skilled in maintaining accurate calendar records, arranging commitments efficiently, and supporting smooth workflow coordination.

Experienced in order processing, handling tracking, cancellations, refunds, and replacements accurately. Ensures timely updates, resolves issues promptly, and maintains correct records for smooth transaction flow.

Skilled in tracking customer orders, monitoring delivery status, and providing timely updates. Accurately checks shipment details, resolves delivery concerns, and keeps records updated for reliable order fulfillment.