Camille Bobo

Delivered high-quality customer support by resolving inquiries related to benefits, claims, prescriptions, and billing Investigated and resolved claim denials, appeals, and grievances while ensuring customer satisfaction Coordinated with healthcare providers, pharmacies, and DME companies to support client needs

United Healthcare Member Service Advocate at OmniCare365 / Teleperformance USA (2024-10 – 2025-09)

• Delivered high-quality customer support by resolving inquiries related to benefits, claims, prescriptions, and billing
• Investigated and resolved claim denials, appeals, and grievances while ensuring customer satisfaction
• Coordinated with healthcare providers, pharmacies, and DME companies to support client needs
• Verified and updated patient demographics, insurance, and provider information
• Navigated multiple systems to meet performance metrics including call handling time and quality scores
• Assisted members with mobile app navigation and online account management

Medi-Cal Provider Care Agent at Apex Systems (2022-09 – 2023-10)

• Researched and resolved up to 10 claim inquiries per call, including denials, appeals, and payment issues
• Identified root causes of claim denials and initiated corrective actions
• Reviewed billing errors involving CPT, HCPCS, and ICD-10 codes
• Verified patient eligibility, authorizations, and medical necessity using multiple systems
• Ensured compliance with Medicaid, Medicare, HIPAA, and PHI regulations

Eligibility Technician / Customer Service Representative at Denver Department of Human Services (2019-09 – 2022-07)

• Determined eligibility for public assistance programs through interviews and documentation review
• Applied federal and state policies to ensure accurate and timely benefit delivery
• Managed case records, processed applications, and conducted benefit re-determinations
• Provided clients with guidance on deadlines, program requirements, and available resources
• Referred individuals to appropriate health, social, and employment services

Bachelor's Degree in Respiratory Therapy – Perpetual Help College of Manila