Arvin R.
Senior Healthcare Customer Service Representative
Open to offersNew to PlatformAbout
Arvin R. is a seasoned Healthcare Customer Service Representative based in Bacoor City, Cavite, Philippines. Boasting over nine years of experience, Arvin excels in supporting medical, dental, pharmacy, and DME accounts. He demonstrates proficiency in prior authorization, claims processing, and insurance verification. Arvin has adeptly handled roles requiring intensive coordination with pharmacies and insurance providers, ensuring seamless operations and exceptional client service. Having worked with companies like DME Service Solutions and BroadPath Global Services, Inc., he has a rich history of managing medical and dental claims, responding to complex issues, and serving as an Assistant Team Lead at Conduent Philippines, where he provided guidance as a Subject Matter Expert. His dedication to maintaining HIPAA-compliant documentation and enhancing healthcare operations underscores his comprehensive understanding of industry standards and regulations. Arvin's technical adeptness extends to data entry and EMR/EHR systems, making him a valuable asset in healthcare service environments. His educational foundation in Information Technology from Datamex Institute of Computer Technology complements his extensive industry experience.
Experience
Customer Service Representative
DME Service Solutions · 2023 — PresentProcessed medication and DME orders, ensuring accuracy and timely fulfillment. Verified insurance eligibility and prior authorizations before processing orders. Coordinated with pharmacies and providers to resolve order-related issues while maintaining documentation in accordance with HIPAA compliance.Customer Service Representative
BroadPath Global Services, Inc. · 2022 — 2023Handled medical and dental claims processing as per payer guidelines. Conducted benefits verification and eligibility checks for both members and providers. Managed appeals by reviewing and resubmitting the necessary documentation, coordinating with insurance providers to address claim-related issues.Customer Service Representative / SME / Assistant Team Lead
Conduent Philippines · 2016 — 2022Oversaw medical, dental, and pharmacy accounts, ensuring adherence to KPIs and service level agreements. Processed prior authorizations, referrals, and claims-related requests. Acted as a Subject Matter Expert by supporting team members and assisting in the training of new hires, while managing escalations and complex customer issues to ensure satisfaction.
Skills & Expertise
Education
- Diploma in Information TechnologyDatamex Institute of Computer Technology · 2012 — 2014