I am a dedicated healthcare support professional with over 5 years of experience assisting members/providers under Aetna Commercial Medical and Behavioral Health plans. My expertise includes eligibility verification, benefits verification, claims processing, prior authorization support, appeals, provider coordination, customer service, and back-office operations. I am proficient in Quickbase, MedCompass, Five9, Microsoft Office, and Google Workspace. I am highly organized, detail-oriented, and committed to delivering accurate, efficient, and compassionate support to both patients and providers.
Experience: 5 - 10 years
Assist members/ providers with medical and behavioral health claims, claim status, and claim denials.
Experience: 5 - 10 years
Support prior authorization inquiries and explain authorization requirements.
Experience: 5 - 10 years
Verify member eligibility and insurance benefits for Aetna Commercial Medical and Behavioral Health plans. Review insurance policies, benefits, exclusions, and coverage details.
Experience: 5 - 10 years
Provide customer support through phone, email, and online communication channels.
Experience: 5 - 10 years
Coordinate with healthcare providers regarding eligibility, benefits, authorizations, and claims.
Experience: 5 - 10 years
Document all customer interactions accurately in company systems. Navigate multiple systems including Quickbase, MedCompass, Five9, Microsoft Outlook, Microsoft Teams, Excel, Google Workspace, and GPS. Consistently meet quality, productivity, and compliance standards while handling high-volume workloads.
“My life has gotten so much better. It changed my life, and I know it can change yours”
- Lukas Rohler
Onlinejobs.ph "ID Proof" indicates if "they are who they say they are".
It DOES NOT indicate skill level.
ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.
It's intended to help employers know who they're talking to is real, and not a fake identity.