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@christinexm_
Experienced healthcare customer service specialist and prior authorization SME.
I am a dedicated and detail-oriented customer service professional with over four years of experience in healthcare and service industries, specializing in patient scheduling, insurance verification, prior authorization processing, and EHR systems.
As a Subject Matter Expert (SME) for urology practices, I provided training, coaching, and peer support, improved workflows with QA and team leads, and acted as the go-to resource for complex cases and system navigation.
I consistently manage high call volumes while ensuring timely care coordination, high customer satisfaction, and process improvements; I bring strong communication, multitasking, and documentation skills to clinical and fast-paced environments.
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Work history, roles, and key accomplishments
Advanced Urology Institute
Sep 2024 - Aug 2025 (11 months)
Managed physician schedules and coordinated patient care logistics, tracked and submitted insurance authorization requests, and acted as SME for prior authorization workflows and peer support.
Absolute Service Inc.
Feb 2023 - Sep 2024 (1 year 7 months)
Handled 80+ daily calls for urology practices, performing patient registration, scheduling, insurance verification and prior authorization processing while serving as SME to train new hires and improve workflows.
Buwelo BPO Solutions
Feb 2021 - Nov 2022 (1 year 9 months)
Handled 60+ inbound/outbound calls daily for EcoShield Pest Solutions, achieving an 85% retention rate through persuasive objection handling and resolving billing disputes while maintaining high CSAT and accurate CRM records.
Degrees, certifications, and relevant coursework
Bachelor of Secondary Education, Secondary Education
Completed a Bachelor of Secondary Education program, graduating in December 2024.
Bachelor of Science, Marketing Management
Completed a Bachelor of Science in Marketing Management, graduating in May 2024.
Software and tools used professionally
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