Part of a global team, working closely with onshore colleagues to deliver patient support serviceExamined faxes received from various sources such as patients, Specialty Pharmacy, and Healthcare Providers.Assisted patients in obtaining Entyvio [Vedolizumab] treatment for Crohn's disease and ulcerative colitisEfficiently managed patient enrolment data for PAP [Patient Access Program], Nurse Support, Denial, and Copay programs.Managed entry of patient demographics, medical history, and treatment dates.Maintaining compliance with HIPPA regulation and guidelines.Provided oversight for Medicare and Medicaid claims processing and eligibility verification.Enhanced efficiency of claim form processing through close coordination with insurance agents and beneficiaries to ensure accurate data entry in patient profiles.Identified and resolved data discrepancies.Collaborated with internal teams, ensuring seamless program execution.Determined Policy Coverage and calculated Claim amounts.Identified areas of potential fraud or abuse in claims processing activities.Verified financial records to ensure accurate reporting of income. [1040 Form].

work was based on claims on health insurance - Dental Claims and EDI [ Electronic Data Interchange].1. Managing the time frame for resolving the claims with explicit time tracker for each claim.2. Analyzing and assessing electronically received invoice from clients. 3. Analyzing the rates and accordingly actioned them.4. Resolving queries.5. Assisting the customer with required claim status.