
Carter Aaron
@carteraaron
I support ophthalmology clinics with insurance verification, coding review, patient accounts, and HIPAA-compliant operations.
What I'm looking for
I provide full administrative and operational support for a US ophthalmology clinic through Primary BPO, managing insurance workflows, eye-care coding, patient accounts, and email correspondence.
I've completed end-to-end eligibility and benefits verification through provider portals, audited CPT and ICD-10 codes against clinical notes, and validated patient demographics to support accurate claims processing.
Across Firstsource Solutions, Concentrix, ResultsCX, and Qualfon Philippines, I've handled benefits, authorizations, claims inquiries, customer profiles, technical troubleshooting, and agent mentoring while maintaining quality, compliance, and workflow continuity.
Experience
Work history, roles, and key accomplishments
Customer Service Representative
Primary BPO
Oct 2025 - Aug 2026 (10 months)
Provided full administrative and operational support for a US Ophthalmology clinic, managing insurance workflows and eye-care coding. Executed insurance eligibility verifications, audited CPT/ICD-10 codes, and managed patient accounts under HIPAA compliance.
Assisted members and providers with insurance verification, benefits, and eligibility checks via provider portals. Handled complex inbound inquiries regarding benefits, authorizations, and claims statuses, consistently exceeding quality and resolution KPIs.
Verified insurance coverage, benefits, and eligibility for providers and members using portal systems. Managed high-volume communications and documented customer profiles into CRM systems to optimize workflow continuity.
Customer Service Representative / Acting SME
ResultsCX
Nov 2021 - Jan 2023 (1 year 2 months)
Conducted insurance verification, benefits checks, and eligibility inquiries for members and providers. Mentored newly hired agents on workflow compliance, quality standards, and resolving complex customer escalations.
Diagnosed technical and account issues for customers, providing effective troubleshooting to maintain high satisfaction rates.
Education
Degrees, certifications, and relevant coursework
ACLC College of Mandaue
Bachelor of Science, Hospitality Management
2018 - 2019
Pursued a Bachelor of Science in Hospitality Management at ACLC College of Mandaue from 2018 to 2019.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Job categories
Skills
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