Djannela Preston

Conducts quality audits of healthcare-related customer interactions to ensure compliance with client and HIPAA requirements. Analyzes performance trends, maintains quality reports, and participates in leadership calibration sessions.

Processed provider enrollment and credentialing applications across multiple insurance payers. Completed Electronic Funds Transfer (EFT) enrollments, verified documentation accuracy, and resolved enrollment issues with providers and insurers.

Supervised healthcare support representatives handling claims, eligibility, and benefits inquiries. Managed escalations and conducted coaching sessions to improve team performance.

Resolved complex claims, eligibility, billing, and benefits concerns. Investigated denials and coordinated with internal departments to ensure accurate resolution.

Assisted healthcare providers with claims status, eligibility verification, and billing discrepancies while maintaining HIPAA compliance.

Completed Security Awareness Certification in 2026.

Completed Client Services Training in 2025.

Completed HIPAA Certification in 2021.

Activities and societies: President's Lister

Earned a Bachelor's Degree from the Polytechnic University of the Philippines in 2021, and was named to the President's List.

Completed Ulysses Training Certification in 2021.