Profile Title
Customer Service Associate
In Metro Manila, PhilippinesAbout Me
Dedicated and detail-oriented BPO professional with nearly 6 years of experience in the healthcare industry. Proven expertise in medication order processing, claims management, verifying eligibility and benefits, initiate and follow up prior authorization and customer support through inbound calls and chat. Adept at handling complex inquiries, ensuring compliance with healthcare regulations, and delivering top-tier customer service. Seeking a remote role where I can leverage my skills to enhance operational efficiency and customer satisfaction.
EXPERIENCE
Customer Service Advocate
- 2021 - 2024
- Optum Global Solutions
- Verifying Eligibility and Benefits, processed medication refills and Prior Authorizations, and assisted with Pharmacy Benefit Manager (PBM) concerns.
- Provided customer support via calls and chats, ensuring accurate and efficient healthcare service.
Customer Service Representative
- 2018 - 2020
- Accenture Inc.
- Initiate and follow-up Prior Authorization requests and made outbound calls to providers and pharmacies for medication approvals.
SKILLS
- HIPAA Compliance
- Claims Processing
- CRM Software Proficiency
- ICD-10 Codes
- Communication
- Attention to Detail
- Problem Solving
EDUCATION
Bachelor Science of Nursing
- 2024 - 2025
- Our Lady Fatima University
Senior High School
- 2016 - 2018
- Saint Thomas Aquinas College
High School
- 2012 - 2016
- Sogod National High School
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X
This calendar shows your working hours available for booking by employers. When you create a promoted service,
it is automatically open for booking at any available time. If your service price is non-negotiable, then someone can book that service without your confirmation. If the price is negotiable, you will have to approve each time the booking request.
This calendar can be enabled or disabled at any time, but all the services that has been booked should be provided.
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