AB INFORMATION TECHNOLOGY
CAP COLLEGE FOUNDATION, INC
I am a customer support professional with a strong background in healthcare and telecommunications, now transitioning to a Virtual Assistant role. My expertise includes processing Prior Authorizations, managing health insurance accounts, and assisting with billing inquiries. I excel in communication, problem-solving, and attention to detail, enabling me to handle multiple inquiries while ensuring client satisfaction.
Highly adaptable, I thrive in various roles and am committed to compliance and delivering customer-centric solutions. I’m passionate about creating positive experiences, fostering lasting relationships, and contributing to operational excellence. As I move into the Virtual Assistant space, I’m eager to leverage my skills to support clients and help streamline their operations.
CAP COLLEGE FOUNDATION, INC
-Scheduled and coordinated patient appointments, procedures, follow-ups, and referral processing
-Handled 40–60 incoming calls per day, serving as the primary point of contact for patients via phone, chat, and email.
-Processed insurance verification and eligibility checked prior to telehealth, in-office appointment and procedure appointment.
-Manage prescription refill request and Pharmacy coordination.
-Maintained HIPAA compliance in all documentation and communication.
-Inbound customer service inquiries, billing issues, and account management in a fast-paced call center environment for telecommunication accounts.
-Resolved customer concerns with clear, step-by-step troubleshooting and technical support.
-Processed payments and account adjustments with accuracy and efficiency.
-Assisted with upselling mobile, home internet, plan upgrades, and other products and services, achieving monthly sales targets and contributing to overall company revenue growth.
-Inbound customer service inquiries, billing issues, and account management in a fast-paced call center environment for telecommunication accounts.
-Assisted customers with basic troubleshooting and technical support for mobile, home internet, and TV services.
-Promoted and upsold products and services, consistently meeting or exceeding monthly sales targets
-Processed prior authorizations for Part D medications in compliance with Medicare guidelines, and policies.
-Verified patient eligibility and prescription coverage; collaborated with providers, pharmacies, and members for timely approvals
-Supported Medicare and Medicaid benefit processing including medical, dental, and vision coverage.
-Managed high-volume health insurance accounts; updated client records and assisted with coverage, billing, and claims inquiries.
-Utilized ICD-9, ICD-10, and CPT coding to ensure accurate documentation and claims submission.
-Ensured HIPAA compliance while handling sensitive patient and insurance information.
Scheduling appointments and managing patient records.
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Acts as the first point of contact, delivering timely solutions and support to enhance customer experience.
Provided reliable data entry services with a focus on accuracy, speed, and confidentiality.