Job Title
Healthcare representative
Job Description
Healthcare Customer Service (Providers)
September 2019 - September 2022 d
Inbound Customer Service
d
• answers phone calls regarding provider claims, appeals
and disputes
• provides information about medical care and benefits
• checking authorization, referrals and credentialing status
Job Title
Account Specialist
Job Description
Transworld System Incorporated
Healthcare Account Specialist (Providers) September 2022 – Present
Medical Claims Associate
• verify health insurance benefits and coverage for patients
• follow up with payers regarding claim status and outstanding balances
• maintain detailed records of each claim, including correspondence
• creates appeals, disputes or reconsideration regarding claims and coding denials