Jester Sineran Sernio

Jester Sineran Sernio

$8/hr
Healthcare Customer Service
Reply rate:
-
Availability:
Hourly ($/hour)
Age:
29 years old
Location:
Trece Martires, Cavite, Philippines
Experience:
5 years
Jester Sineran Sernio CERTIFIED MEDICAL VIRTUAL ASSISTANT ABOUT ME I specialize in providing administrative support to clients and medical professionals across the USA, optimizing workflows to save time and enhance efficiency. Meticulous attention to detail and effective communication are the cornerstones of my approach, ensuring exceptional outcomes in every task. EXPERIENCE TOOLS EMR/EHR (Practice Fusion) Canva Google Suite Microsoft Office Ring Central Customer Service Representative Cognizant - Medicare Advantage & MedicareRx August 2022 - Present Accepting all incoming calls, making outbound calls, and verifying insurance. Taking in calls and providing solutions to Patients and Provider related concerns such as member’s eligibility, benefit coverage, insurance verification, MVA SKILLS Familiar with EHR/EMR systems Prior Authorization Insurance Verification Appointment Scheduling Email Management prior authorization and claims. Tracked healthcare providers whose claims were denied, still on process or underpaid and assist them with submitting necessary documents Doing outbound calls to healthcare providers to discuss claim status and provide resolutions. Setting up an expedited case for members and providers asking for an appeal request. SOFT SKILLS Ability to work under pressure Time Management Ability to multitask Team Player Ability to handle questions and problems in an efficient manner Maintain detailed and accurate records of customer interactions, utilizing systems and databases. Educate Patients on Part D prescription drug plans, including formularies, drug tiers, copayments, and prior authorization requirements. Document all member interactions accurately and comprehensively in accordance with company policies and regulatory requirements. CERTIFICATIONS HIPAA Certified EDUCATION Salawag Global Training Institute of Technology Automotive Servicing 2019 Customer Service Representative TaskUs Philippines - DoorDash January 2021 - May 2022 Customer Service Representative Alorica Philippines - Amazon.com June 2019 - January 2021
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