Diana Jane Estrella
@dianajaneestrella
Healthcare support specialist at Continuum Global Solutions who processed electronic prior authorizations and verified insurance benefits.
PhilippinesWhat I'm looking for
At Continuum Global Solutions, I guided U.S. patients and healthcare providers through insurance regulations and pharmacy benefits. I processed electronic prior authorizations, checked eligibility, and followed up on pharmacy requests for mail-order prescriptions.
I also processed insurance appeals and handled sensitive billing inquiries while following HIPAA protocols.
At Hinduja Global Solutions (HGS), I handled provider calls about prior authorizations and supported members and providers with claims, appeals, and Guarantee of Payment (GOP) requests. I verified eligibility and explained medical, dental, vision, and pharmacy benefits.
I also processed medical paperwork, updated records, and audited pharmacy benefits. I hold a Bachelor of Science in Information Technology and a HIPAA Compliance Certification.
Experience
Work history, roles, and key accomplishments
Customer Care Associate II
Continuum Global Solutions
Sep 2023 - Aug 2026 (2 years 11 months)
Guided U.S. patients and healthcare providers through health insurance regulations and pharmacy benefits to clarify coverage. Managed electronic prior authorizations, patient eligibility checks, and pharmacy follow-ups for mail-order prescription processing.
Customer Advocate
Hinduja Global Solutions (HGS)
Nov 2018 - Apr 2021 (2 years 5 months)
Handled provider calls requesting prior authorizations and reviewed documents sent ahead of calls. Provided claims support, processed Guarantee of Payment (GOP) requests, and verified member eligibility and benefits.
Education
Degrees, certifications, and relevant coursework
HIPAA Compliance Certification
Certification, Healthcare Compliance
Completed HIPAA Compliance Certification in September 2026.
Pamantasan ng Lungsod ng Muntinlupa
Bachelor of Science, Information Technology
2014 - 2018
Bachelor of Science in Information Technology from Pamantasan ng Lungsod ng Muntinlupa from 2014 to 2018.
Tech stack
Software and tools used professionally
Availability
Location
PhilippinesAuthorized to work in
Salary expectations
Social media
Skills
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