U.S. Healthcare Operations Specialist | Medical Claims Adjudication | Patient & Provider Support | Care Coordination | Healthcare Administration

Hybrid

Hybrid

Hybrid

India

Bachelor of Arts - BA, Education
Gauhati University, Guwahati
b.a, Sociology
darrang college
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New Delhi
Senior Virtual Executive | at Vocis, Sep 2025 - Present · 10 mos, Hybrid, Senior Virtual Executive with experience in patient care coordination, appointment scheduling, rescheduling, cancellations, follow-ups, and medication refill support. Skilled in delivering high-quality virtual healthcare assistance while ensuring a seamless patient experience. Strong ability to manage patient inquiries, coordinate with healthcare teams, maintain accurate records, and handle multiple responsibilities in a fast-paced environment. Committed to providing efficient, professional, and patient-focused support while maintaining confidentiality and service excellence.
Senior Virtual Assistant at Vocis, Sep 2025 - Present · 10 mos, Hybrid, Coordinated patient appointments, including scheduling, rescheduling, cancellations, and follow-ups, while managing medication refill requests, provider communications, patient inquiries, and healthcare-related guidance to ensure seamless care delivery through virtual support channels.
Senior Virtual Executive at Vocis, Sep 2025 - Present · 10 mos, Hybrid, Senior Virtual Executive with experience in patient care coordination, appointment scheduling, rescheduling, cancellations, follow-ups, and medication refill support. Skilled in delivering high-quality virtual healthcare assistance while ensuring a seamless patient experience. Strong ability to manage patient inquiries, coordinate with healthcare teams, maintain accurate records, and handle multiple responsibilities in a fast-paced environment. Committed to providing efficient, professional, and patient-focused support while maintaining confidentiality and service excellence.
Claims Examiner at Allianz, Mar 2022 - Mar 2025 · 3 yrs 1 mo, India, Managed end-to-end processing of medical, technical, and travel insurance claims for international customers. * Reviewed and assessed claim documents, invoices, medical reports, repair estimates, and supporting records to determine claim eligibility and coverage. * Processed reimbursements for flight tickets, hotel accommodations, medical expenses, and other approved claim costs. * Verified approved invoices and ensured accurate payment calculations using applicable foreign exchange rates and settlement guidelines. * Coordinated with customers, healthcare providers, service centers, and internal stakeholders to obtain required documentation and resolve claim-related queries. * Maintained high accuracy in claim adjudication, payment processing, and documentation while adhering to company policies and service level agreements. * Investigated claim discrepancies and supported timely claim resolution to enhance customer satisfaction. * Worked in a fast-paced international environment handling complex cases with strong analytical and problem-solving skills.
Bachelor of Arts - BA, Education, Gauhati University, Guwahati
b.a, Sociology, darrang college