
Patient/ Customer Service Professional with 6+ years of experience, supporting healthcare organizations in high-volume call center and patient-facing environments. Experienced in patient registration, appointment scheduling, insurance and billing inquiries, data verification, and HIPAA-compliant handling of sensitive information. Proven ability to provide compassionate, accurate support, while meeting productivity and quality standards in regulated healthcare/professional settings.
• Handle high-volume inbound calls related to healthcare appeals and patient cases.
• Verify patient demographics, authorized representatives (POA), and case information for accuracy and compliance.
• Maintain confidentiality of PHI in accordance with HIPAA guidelines.
• Document patient interactions accurately within internal systems to support timely resolution.
• Provide clear, compassionate communication while meeting quality, accuracy, and productivity benchmarks.
• Assisted senior patients with enrollment and applications for healthcare assistance programs.
• Collected, reviewed, and verified personal, eligibility, and supporting documentation.
• Responded to patient inquiries regarding program status, next steps, and required information.
• Maintained accurate electronic records while handling sensitive patient data.
• Served as a primary point of contact for physical therapy patients regarding insurance, billing, and account-related inquiries.
• Communicated directly with insurance companies to verify coverage, benefits, authorizations, and claim status.
• Coordinated with attorneys and legal representatives regarding patient accounts, liens, and documentation when applicable.
• Maintained HIPAA compliance while handling protected health information (PHI) and sensitive patient data.
• Explained coverage details, balances, and payment options clearly to patients to support informed decision-making.
• Ensured accurate documentation and timely resolution of patient account concerns to support a positive patient experience.
Appointment Scheduling & Coordination
Insurance Verification & Billing Support
HIPAA & Confidentiality Compliance
Patient Access Services
Inbound/ Outbound Call Handling
Data Entry & Documentation
Payment Processing
De-escalation & Patient Communication