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Lowie J. from Philippines

Lowie J.

Philippines 2-3 years
Open to offersNew to Platform
Languages
English
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About

Lowie J. is a dedicated Healthcare Customer Service Specialist with nearly two years of experience at Florida Blue, a Teleperformance company. He specializes in claims management and provider relations, ensuring compliance with HIPAA and maintaining patient data confidentiality. In his role as an Inbound Claims Customer Expert, he handles approximately 30 calls daily and responds to around 50 Availity messages per shift. Lowie excels in resolving complex claim disputes, overturning denials, and identifying underpayments through detailed medical record reviews. He effectively bridges the communication between providers and payers by guaranteeing accurate benefit verification and prior authorizations, safeguarding the practice's revenue while delivering high-quality, secure solutions. As a Subject Matter Expert, he also assists in the escalation process and manages supervisor calls when necessary. Among his technical proficiency, key tools include Diamond, BlueSquared, and Availity, supporting his skills in claims adjudication, dispute resolution, and medical transcription and documentation.

Experience

  • Inbound Claims Customer Expert

    Provider Services, Florida Blue (Teleperforance) · 2024 — 2026
    Managed inquiries by assisting providers with their claims concerns, resolving issues in real-time, and verifying patient authorizations, benefits, and eligibility. Conducted thorough reviews of medical records and forwarded them to the respective patient's home plan for evaluation.
  • Subject Matter Expert (SME)

    null · 2025 — 2026
    Facilitated the escalation process and responded to supervisor calls when required.

Skills & Expertise

Education

  • Bachelor of Arts in English Language Studies
    Mindanao State University · 2024 — 2025
  • Senior High School
    ST. Lorenzo School of Polomolok, INC. · 2020 — 2021

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