Charmaine Rosento

• US Healthcare account. Outbound calls. Verifying of eligibility and benefits of the patient with their specific CPT/HCPC Codes through US medical insurance portals and calling different US medical insurances. Checked and verified Prior Authorization.
• Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
• Assured timely verification of insurance benefits prior to patient procedures or appointments. Updated patient records with accurate, current insurance policy information.
• Updated internal databases regularly with verified information, facilitating easy access for all team members involved in the process.
• Receiving positive feedback from the Quality Team on the quality of service.

Tools:

Livevox, Outlook, Cisco Webex, Salesforce, Availity, US Medical Insurance Portals (BCBS, Anthem, Aetna, Cigna, MHN, Optum, Unitedhealthcare) , AdvancedMD