Aira Alyssa Reyes
Healthcare customer service specialist with 7+ years of experience supporting providers and members with eligibility, benefits, and claims inquiries
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About
Healthcare customer service specialist with 7+ years of experience supporting providers and members with eligibility, benefits, and claims inquiries. Strong background in prior authorization processes, claims research, and healthcare coding (ICD-9/10, CPT, HCPCS). Proven ability to manage high-volume calls, verify information accurately, and maintain compliance with HIPAA and payer guidelines.
Experience
Healthcare Customer Service Specialist at Concentrix Daksh Services Philippines (2018-01 – Present)
- Handled high-volume inbound and outbound calls for U.S. healthcare providers and facilities
- Verified member eligibility, benefits, demographics, and provider information
- Provided claim status updates and prior authorization requirements
- Assisted providers with required documentation for approvals
- Applied knowledge of ICD-9, ICD-10, CPT, HCPCS, and CMS-1500 forms
- Ensured accurate documentation and strict HIPAA compliance
- Consistently met quality, accuracy, and productivity metrics
Administrative Assistant at The Evergreen Chapel and Crematory (2018-01 – 2018-12)
- Prepared invoices, processed payments, and maintained financial records
- Coordinated schedules and handled client communications
Office Clerk / Event Staff at Extreme Excite Parties & Entertainment Services (2015-01 – 2017-12)
- Prepared reports, invoices, and maintained transaction records
- Assisted with client coordination and documentation
Education
Secondary Education – Saint Luke's School of Novaliches
Primary Education – Rosary Hills International School

