Skills
Customer service
10+ Years
Quality Assurance
2-5 Years
Healthcare Associate
2-5 Years
Prior Authorization and insurance verification
2-5 Years
Patient and provider communication
2-5 Years
Email and Calendar Management
2-5 Years
HIPAA Compliance & Healthcare Knowledge
2-5 Years
Team Leadership & Coaching
1-2 Years
Data Entry (Excel, Google Sheets)
5-10 Years
Office and Administration > Quality Assurance
5-10 Years
2-5 Years
Team Leadership
2-5 Years
Data Validation
5-10 Years
Health Insurance Claims Specialist > Insurance Verification
5-10 Years
HIPAA Compliance
2-5 Years
Experience highlights
Operations Supervisor
MedImpact Philippines
·
January/2024
–
Present
Supervised daily operations for US-based PBM account. Oversaw prior authorizations, eligibility inquiries, benefit transactions. Monitored team productivity and HIPAA compliance. Coached agents on performance and compliance.
Quality Analyst
OfficePartners360
·
January/2020
–
Present
Evaluated team performance against quality metrics and accuracy targets. Collaborated with operations and training teams to improve data collection, workflows, and quality standards.
Business Process Associate
Manulife
·
January/2018
–
Present
Processed life insurance claim disbursements, benefits, maturities, surrenders. Reviewed and verified requests for completeness and proper authorization. Validated policyholder and banking information.
Subject Matter Expert
The Results Company
·
January/2016
–
Present
Primary contact for agents on products, services, systems, and policies for telecommunications account. Provided real-time administrative support on billing, technical, account, and activation issues.
Healthcare Associate
EXL Company
·
January/2014
–
Present
Reviewed and processed member reimbursement claims for US healthcare services. Performed insurance verification tasks. Validated submitted documents for completeness and accuracy.
