Multi-Specialty Medical SpecialistMulti-Specialty Medical Specialist
Marchie
ID Verified$998
per month
($6/hour)
Profile Description
PROFESSIONAL EXPERIENCE Healthcare Customer Service Representative – US Insurance (Horizon) Sutherland Global Services | Oct 2018 – Feb 2023 Handled inbound calls from providers and members regarding medical claims, coverage, benefits, eligibility, and billing Verified patient demographics and insurance eligibility using payer portals and internal systems Reviewed and explained claim status, EOBs, and payment responsibilities Assisted with denied and corrected claims inquiries and appeal st...
Skills & Expertise
Skill Levels Explained:
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Customer Success
Content & Writing
E-commerce & Marketplace
Sales & Business Development
Work Experience
Customer Service
Sutherland Global Services
Oct 2018 - Dec 2025
Job Responsibilities:
Met QA and productivity metrics in a high-volume healthcare account Delivered accurate claims and benefits explanations to providers and members Ensured HIPAA-compliant handling of patient data Supported claim resolution and reduced repeat inquiries