Open to opportunities

Raymond Omoruyi

@raymondomoruyi

Message

Experienced healthcare customer service representative focused on patient-centered solutions.

United States

Message

What I'm looking for

I seek a remote healthcare customer service role where I can use my insurance verification, claims resolution, and patient-centered communication skills to improve member outcomes and meet quality metrics.

I am a results-driven healthcare customer service professional with over eight years supporting patients, members, and providers in high-volume remote call center environments. I specialize in insurance verification, claims inquiries, appointment scheduling, prior authorization support, and HIPAA-compliant patient communication.

Throughout my career I have managed large inbound call volumes, maintained exceptional first-call resolution and QA metrics, and consistently delivered accurate CRM and EMR/EHR documentation. I routinely coordinate with clinical, billing, and payer teams to resolve complex issues, reduce denials, and minimize treatment delays.

I bring calm, empathetic communication and proven technical troubleshooting abilities to every interaction, and I am committed to continuous improvement in productivity, compliance, and patient satisfaction.

Experience

Work history, roles, and key accomplishments

Healthcare Customer Service Rep

Aeroflow Health

Jul 2023 - Nov 2025 (2 years 4 months)

Managed 90–110+ inbound calls daily handling benefits, eligibility, billing, and claims inquiries, achieving a 96% first-call resolution rate while maintaining 100% HIPAA compliance.

Insurance Verification CRM Claims Processing HIPAA Call Resolution Quality Assurance

Patient Services Representative

Ascension

Feb 2020 - Jun 2023 (3 years 4 months)

Scheduled and managed patient appointments and prior authorizations, coordinated with clinical and billing teams to resolve complex issues, and improved documentation quality to reduce repeat calls.

Scheduling Patient Support Quality Assurance

Member Services Representative

Transcarent

Jan 2017 - Jan 2020 (3 years)

Handled high-volume Medicaid/Medicare member inquiries on eligibility, benefits, and claims, coordinated cross-functionally to resolve issues, and maintained compliant CRM documentation for audits.

Member Education Provider Relations Care Coordination Customer Service

Education

Degrees, certifications, and relevant coursework

Grand Canyon University

Bachelor of Business Administration, Business Administration

Completed a Bachelor of Business Administration with a focus on Business Administration, providing foundational knowledge in management, finance, and operations.