Company Name 1
Fusion BPO
Job Title
Client Relationship Specialist
Job Description
Responsible for managing the renewal process for group accounts, assisting clients with plan rates, employer portal navigation, and relevant details. Provided prompt support for client inquiries via phone, email, and chat, addressing employee claims and health plan requirements. Conducted weekly Google meetings with onshore agents to communicate updates on client health plans and related information.
Company Name 2
iPloy Staffing Solutions
Job Title
Orders Specialist
Job Description
Responsible in reviewing sales orders from healthcare facilities and hospitals, ensuring accurate application of ICD-10 and HCPCS codes. Verified insurance coverage, including Medicare, Medicaid, and private providers like United Health, Cigna, Aetna, and Horizon BCBS, for prior authorization. Communicated with facilities to address missing prescription information and followed up as needed. Handled payment processing for copays, co-insurance, and out-of-pocket items. Managed inbound and outbound calls to assist patients with inquiries and support.