Priyanka B.
Mid-Level Medical Billing Specialist
Open to offersNew to PlatformAbout
Priyanka B. is an accomplished Customer Support Representative with over four years of experience in the US medical billing sector, focusing on Medical Billing & DME Authorization. In her role at Sun Knowledge Pvt. Ltd, she expertly processed over 40 medical authorization requests daily, achieving a 98% documentation accuracy rate for CPAP and endocrinology patients. Priyanka coordinated with numerous medical department representatives, effectively verified insurance eligibility for over 100 patients weekly, and resolved escalated issues, maintaining a 95% service level agreement compliance. Her attention to detail ensured zero compliance flags throughout her tenure. Prior to this, at Teleperformance D.I.B.S, Priyanka demonstrated proficiency in handling over 80 non-voice customer queries daily, maintaining a high accuracy rate in email support. At Concentrix Daksh Pvt. Ltd, she efficiently managed inbound calls, achieving high customer satisfaction and adherence to SOPs. Priyanka's multilingual communication skills, encompassing English, Hindi, Marathi, and Bengali, further enhance her capability in providing exceptional customer support.
Experience
DME Authorization Representative – Medical Billing Operations
Sun Knowledge Pvt. Ltd · 2024 — 2026Processed over 40 medical authorization requests daily for CPAP and Endocrinology patients, ensuring 98% documentation accuracy per payer guidelines. Collected and confirmed patient medical records through e-fax and outbound calls, collaborating with more than 20 Medical Department Office representatives weekly. Verified insurance eligibility and benefits for over 100 patients weekly to minimize authorization delays and facilitate timely delivery of medical supplies. Addressed escalated authorization issues involving providers, patients, and medical staff, consistently meeting 95%+ Service Level Agreement compliance. Maintained precise authorization records and prepared audit-ready documentation, achieving zero compliance flags throughout the employment period. Ensured high patient satisfaction scores through empathetic and detail-oriented communication on all calls.Customer Support Representative (Non-Voice) – Amazon Process
Teleperformance D.I.B.S · 2020 — 2021Managed over 80 customer inquiries daily through inbound email support, achieving a first-response accuracy rate surpassing 95%. Handled refunds, replacements, and order-status requests for a high-volume e-commerce customer base, improving the speed of resolution. Upheld 95%+ compliance with SLA and quality by adhering to Standard Operating Procedures. Balanced efficiency and empathy in each interaction, which contributed positively to customer satisfaction outcomes.Customer Support Associate – Jio Process
Concentrix Daksh Pvt. Ltd · 2018 — 2019Responded to over 60 inbound calls daily regarding mobility-related service issues, ensuring first-call resolutions aligned with SOPs. Acquired cross-training in various service queues for additional support on escalated supervisor-desk calls. Regularly met performance and SLA targets, efficiently closing service requests while maintaining a customer satisfaction rate exceeding 95%.
Skills & Expertise
Education
- HSC (10+2), ScienceBhide Girls High School, RTNU · — — 2015
- SSC (10th)JSW Ispat English Medium School, RTNU · — — 2013
- DiplomaNagpur, Maharashtra · — — 2011
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