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Patient Service Specialist
Patient Service Specialist at Humana verifying coverage and coordinating appointments for patient care.
Dominican RepublicPatient Service Specialist at Humana
Schedules patient appointments and manages doctor calendars to ensure smooth daily clinic operations. Verifies insurance eligibility and coverage with major carriers and confirms patient details for accurate records.
Medical SchedulingInsurance VerificationPatient IntakeCustomer ServiceBlue Cross Blue ShieldAetnaAnthemHumana
Coordinated remote home healthcare services by verifying insurance coverage and matching patients with qualified home nurses. Managed nurse availability to ensure uninterrupted patient care.
Insurance VerificationCare CoordinationSchedulingCommunication Skills
Closed over 80% of sales opportunities while maintaining high customer satisfaction. Advised clients on financial plans and guided them through platform processes, fund withdrawals, and billing resolutions.
SalesFinancial AdvisoryCustomer ServiceCommunication Skills
Verified employees' insurance eligibility and benefits by contacting carriers to confirm plan details. Requested medical records and reviewed plan options to help employees select suitable health plans and physicians.
Insurance VerificationBenefits NavigationMedical RecordsCarrier CommunicationPlan Comparisons
Currently pursuing advanced studies in data analytics, covering Excel, SQL, Power BI, and Tableau.