Ray Secop

I’m a resourceful, detail-oriented healthcare support professional with hands-on experience in the BPO industry, focused on claims processing and insurance verification. I translate complex medical and claims information into clear, actionable summaries so insured members can understand what matters.

In my current role as a Medicare Advantage Insurance Biller at Qualfon, I handle CPT code translation and interpret CPT-related claims documentation such as EOCs and EOBs. I strictly execute HIPAA verification protocols to maintain 100% regulatory compliance and data privacy, while keeping meticulous records for seamless retrieval and operational accuracy.

Previously, as a Healthcare Concierge/Appointment Setter at Qualfon, I navigated complex healthcare networks to help clients find targeted providers and schedule appointments smoothly. I also educate members on healthcare benefits by translating technical SOB language into clear, coverage-focused insights, while consistently completing multi-point HIPAA verification.

Earlier, working with Upwork as a Retail Customer Service Representative, I streamlined end-to-end e-commerce support by processing orders, returns, and refunds with zero discrepancy. I served as a primary technical and product expert—providing swift, accurate troubleshooting and support—so users had an optimal experience and a positive brand reputation, and I’m now seeking to transition into a healthcare setting to bring that same accuracy, empathy, and efficiency.