Healthcare Insurance Specialist

Verified

$5/hr

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Outline

Looking for Full-Time work (8 hours/day) at $5/hour

High School Diploma

English proficiency Fluent

Professional Summary

Experienced Healthcare Insurance Specialist skilled in U.S. healthcare processes, including insurance eligibility, benefits verification, prior authorizations, claims denial investigations, and appeals follow-up. Proficient in navigating clearinghouses like Availity and managing inbound provider/member inquiries to resolve complex coverage issues accurately and efficiently.

Skills & Experience

Skills

Accounting > Claims Processing 1-2 Years

Customer Support > Insurance > Prior Authorization 1-2 Years

Customer Support ( EMAIL / VOICE) 1-2 Years

Health Insurance Claims Specialist > Insurance Verification 1-2 Years

HIPAA Compliance 1-2 Years

Experience highlights

Healthcare Insurance Specialist

Concentrix · August/2024 – Present

Processed insurance claims and appeals, verified patient eligibility and benefits, investigated claim denials, and communicated with payers, providers, and members via phone, email, and Availity portal.

Service Crew

Soysoy Grill House · January/2022 – Present

Handled customer orders, payments, and POS transactions. Resolved customer concerns and maintained efficient service during peak hours and store operations.

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