Customer Service Representative
TeleTech Dumaguete
Dec 2017 - May 2022 (4 years 6 months)
Medical and Pharmacy Account
• Verified patient eligibility and insurance benefits using payer portals and internal systems.
• Assisted providers and members with questions regarding coverage, co-pays, deductibles, and plan limitations.
• Reviewed and explained claims status, including payments, denials, and adjustments.
• Assisted customers with prescription orders, refills, transfers, and medication inquiries via inbound calls and messages.
• Provided accurate information on prescription status, insurance coverage, copays, and pharmacy policies.