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Moreen J. — Mid-Level Healthcare Customer Service Specialist from Philippines

Moreen J.

Mid-Level Healthcare Customer Service Specialist

Philippines 3-6 years
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About

Moreen J. is a seasoned Healthcare Customer Service Representative and Medical Administrative professional with over four years of dedicated experience in the U.S. healthcare sector. With a robust background in supporting healthcare accounts, she has honed her expertise in insurance verification, benefits and eligibility assessment, claims support, patient communication, and maintaining HIPAA-compliant documentation. Her proficiency in using Microsoft Office Suite, Healthcare Payer Portals, and Insurance Eligibility Systems underscores her capability in the field. Moreen's professional journey includes notable roles with organizations such as EXL Service and Wipro Limited, where she excelled in verifying patient eligibility, reviewing claims, supporting patient inquiries related to medical devices, and ensuring compliance with industry standards. Educated with a Bachelor in Elementary Education, Moreen continuously demonstrates her commitment to delivering high-quality service in the fast-paced environment of healthcare.

Experience

  • Healthcare Customer Service Representative / Benefits & Eligibility Specialist

    EXL Service · 2024 — 2026
    Verified patient/member eligibility and insurance benefits while reviewing copays, deductibles, and out-of-pocket maximums. Assisted healthcare providers and members with inquiries regarding benefits and claims, and resolved claim issues through various systems. Maintained documentation of eligibility verifications and claims updates in compliance with HIPAA, and coordinated with relevant stakeholders to resolve complex cases.
  • Medical Analyst / Customer Service Representative

    Wipro Limited · 2022 — 2024
    Supported patients and healthcare providers regarding CPAP devices for sleep apnea treatment, addressing inquiries about troubleshooting, replacements, and order status. Reviewed patient accounts for prescription verification and coordinated with healthcare providers and suppliers to address concerns. Documented customer interactions accurately and ensured adherence to HIPAA and company quality standards, while educating patients on device usage and support resources.

Skills & Expertise

Education

  • High School
    Cordova Catholic Cooperatove School · 2017 — 2018
  • Bachelor in Elementary Education
    Cordova Public College

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