
Remote healthcare call center and insurance specialist with 12+ years of experience in patient access, insurance verification, intake coordination, and high-volume inbound call environments. Proven success supporting remote Tier 1 & Tier 2 operations, insurance eligibility, prior authorizations, and case documentation while meeting productivity and quality metrics. Extensive experience with EMR systems including Cerner, Brightree, and GoRev, and a strong background in HIPPA- Compliant customer service for healthcare and government programs.
- Handled 60-90 inbound calls daily assisting disaster survivors with FEMA application status, eligibility, and documentation requirements.
- Provide Tier 1 & Tier 2 case support, resolving issues and escalating complex cases per protocol.
- Guided applicants through application completion and updates in a fully remote environment.
- Documented all interactions accurately while meeting call center performance and quality metrics.
_ Maintained confidentiality and compliance with federal data privacy standards.
- Scheduled initial and follow-up appointments while coordinating patient referrals and diagnostic testing.
- Confirmed next-day appointments and communicated care updates with attorney offices.
- Obtained and processed medical records to support continuity of care.
- Supported intake workflows in a fast-paced clinical environment.
- Coordinated high-volume specialist and imaging referrals ( CT, MRI,US)
- Obtained required pre-authorization and verified insurance coverage.
-Managed patient check-in/ check-out and collected copayments and balances.
- Follow up with specialist and imaging centers to ensure care plan compliance.
- Trained new team members on intake and referral workflows.
- Managed inbound and outbound calls in a high-volume healthcare call center
- Scheduled diagnostic imagining and specialty services ( MRI, CT,X-RAY,NM,L&D)
- Entered and verified patient demographics and insurance in Cerner.
- Processed physicians orders, faxes, and documentary accurately.
- Assisted ER registration and collected patient financial responsibility.