Skills
Customer Support
1-2 Years
Training
6 Months to 1 Year
Quality Assurance
6 Months to 1 Year
Experience highlights
Quality Analyst
Ibex Global
·
March/2025
–
Present
Conducted in-depth quality monitoring and audits of recorded and live agent interactions (calls and case documentation) related to facility billing, claims, and payment processing.
Ensured strict adherence to client service level agreements (SLAs), internal quality standards, and critical regulatory mandates, including HIPAA compliance for patient data confidentiality.
Facilitated weekly calibration sessions with Operations, Training, and Client teams.
Customer Send Representative
Avas Flowers
·
October/2025
–
Present
Customer Service Representative
Ibex Global
·
April/2024
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Present
Provide detailed explanations of facility bills and services rendered to patients, ensuring clear understanding of costs, charges, and medical procedures.
Executed insurance eligibility verification with carriers to determine coverage, benefits, and patient liability, strictly adhering to HIPAA confidentiality.
Processed and submitted medical claims to various insurance providers to facilitate timely reimbursement for services.
Trainer
Teleperformance Philippines
·
May/2023
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Present
Facilitate new hire, product, and process training for customer service representatives, ensuring mastery of client-specific healthcare plans, terminology, and operational systems.
Conduct engaging, compliance-focused training sessions using a blended approach:
- In-Person (Face-to-Face)
-Virtual (Online/Remote)
Customer Service Representative
Teleperformance Philippines
·
August/2022
–
Present
Managed a high-volume queue of 30+ daily inbound and outbound calls for US time zone clients, leveraging the Amazon Web Services (AWS) platform for effective service delivery.
Executed secure customer data retrieval via the Centene system, strictly adhering to HIPAA compliance and confidentiality standards for sensitive client information.
Handled complex financial and claims processes, including payment receipt (using Fiserv), prescription test claims, and intensive coordination with pharmacies