Available to hire
I am a dedicated professional with a diverse background in customer service and healthcare. I pride myself on delivering exceptional support and helping patients navigate their healthcare journey. My experience includes resolving inquiries, problem-solving, and ensuring compliance with industry standards. I am always eager to learn and adapt to new challenges.
In my free time, I enjoy exploring new technologies and enhancing my skills. I am passionate about using my expertise to make a positive impact in the healthcare sector. I thrive in collaborative environments where I can share ideas and work towards common goals with my team.
Skills
Experience Level
Expert
Expert
Expert
Intermediate
Intermediate
Intermediate
Intermediate
Intermediate
Intermediate
Language
English
Advanced
Work Experience
Customer Service Representative at Everis
November 1, 2022 - February 1, 2024Handled 30-60 inbound healthcare member interactions daily via Genesis, verifying their benefits inquiries and assisting them in setting appointments with their doctors, making sure they are on track of their health check thus meeting HIPAA and SSA requirements. Documented concerns while adhering to quality and compliance standards, especially with healthcare coverage and OTC orders.
Customer Service Representative at Teleperformance
May 1, 2014 - October 1, 2022Engaged in providing high-quality phone support, handling customer inquiries with empathy and efficiency. Developed solutions to customer issues and ensured compliance with company policies and procedures.
Customer Service Representative (Healthcare) at Genysis
November 1, 2022 - February 29, 2024Handled 30-60 inbound healthcare members' interactions daily via Genysis; verifying their benefits inquiries and assisting them in setting appointments with their doctors, making sure they are compliant with healthcare regulations including HIPAA and SMA requirements. Resolved billing accounts, and service-related concerns with consistent adherence to quality and compliance standards; effectively stating policies, procedures and other call metrics. Maintained situation awareness interactions, through effective communication, empathy, patience, and active listening while reviewing case requests or appeals
Customer Service Representative at Ubiquity
September 1, 2020 - October 31, 2022Resolved customer queries by providing factual information, with concern and care. Handled general queries regarding service issues, complaint resolution, empathy, and putting the customer first. Responsible for accurate account management, ensuring customer requests are escalated to the appropriate department. Trained new team members on organizational goals and objectives.
Customer Service Representative (Healthcare) at Genesis
November 1, 2022 - February 29, 2024Handled 30-60 inbound healthcare members' interactions daily via Genesis; verifying their benefits inquiries and assisting them in setting appointments with their doctors, making sure they are not out of compliance with their healthcare plan meeting HIPAA and CMS requirements. Resolved billing accounts, and service-related concerns with consistency to quality and compliance standards, assisting with newly established processes and ongoing training outside regular work hours to ensure current and trained staff were prepared to handle complex or high-risk cases appropriately, requiring escalation when necessary. Ensured accurate follow-up on cases for timely completion and provided resolutions and transportation options based on situations.
Education
Bachelor's Degree at University of Rizal System
June 12, 2017 - January 21, 2019Qualifications
Bachelor's Degree
June 8, 2009 - April 4, 2014AB Political Science
Industry Experience
Healthcare, Professional Services, Computers & Electronics, Education, Non-Profit Organization, Telecommunications
Skills
Experience Level
Expert
Expert
Expert
Intermediate
Intermediate
Intermediate
Intermediate
Intermediate
Intermediate
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