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Clyte Loyd L.

Healthcare - Medical/Dental Receptionist - Insurance Verification Specialist / Claims and prior-auth

Verified
$6/hr

Outline

Looking for Full-Time work (8 hours/day) at $6/hour

Bachelor's Degree

English proficiency Conversational

Professional Summary

Strong background in Healthcare insurance processes.

Skills & Experience

Skills

Knowledge of insurance terminology (HMO, PPO, copay, deductible, etc.) 2-5 Years

Experience highlights

Team Leader
SAGILITY · February/2023 – /
Supervise a team of healthcare associates handling medical claims
processing for a US based insurance client.
Monitor KPIs to ensure targets are consistently met or exceeded and conduct
regular performance reviews, coaching, and root cause analysis for errors
and escalations.
Resolve escalated issued and ensure client SLAs are met with high accuracy
and efficiency.
Customer Service Representative
SAGILITY · April/2022 – Present
Managed inbound calls from healthcare providers regarding patient’s claim
status, eligibility, benefits and authorization request.
Customer Chat Support
SAGILITY · August/2021 – Present
Delivered real-time chat support to patients, addressing inquiries about
insurance coverage, claim status and pre-certification in compliance with
HIPAA reguations.
Real Estate Data Analyst
Savant Technologies · August/2013 – Present
Prepared and analyzed property-level financial reports including income
statements, tax assessments, and cost summaries.
Analyzed results from real estate/property data to identify trends, risks and
opportunities.
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