Healthcare Insurance & Customer Support VA | Claims, Denials, Appeals & Operations | E-Commerce CS

Verified

$6/hr

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Outline

Looking for Full-Time work (8 hours/day) at $6/hour

Bachelor's Degree

English proficiency Fluent

Professional Summary

I help U.S. healthcare organizations and businesses manage customer inquiries, resolve complex issues, maintain accurate records, and support efficient daily operations.

I bring over 5 years of experience in U.S. healthcare insurance, specializing in claims support, denial management, appeals, healthcare documentation, customer service, and back-office operations. I also have 2 years of experience as an Operations Supervisor, overseeing quality assurance, performance reporting, escalations, and process improvement.

I'm seeking a stable, long-term remote position where I can contribute my experience in healthcare insurance support, customer service, administration, or e-commerce operations.

I value accuracy, confidentiality, accountability, and consistent follow-through. I take ownership of my responsibilities and believe that reliable service begins with understanding the problem and seeing it through to resolution.

Skills & Experience

Skills

- Customer Service 5-10 Years

Accounting > Claims Processing 2-5 Years

Design > Graphic Design 2-5 Years

Marketing > Social Media Management > Meta Business Suite 2-5 Years

E-commerce Operations 1-2 Years

ChatGPT Less than 6 Months

E-Commerce > Amazon > Inventory Management 1-2 Years

Customer Service, Healthcare, Operations Manager, Social Media Manager 5-10 Years

Team Leadership & Supervision 1-2 Years

Cost Estimate > Microsoft Excel 2-5 Years

Chat Support > Social Media Management 2-5 Years

Quality Assurance & Monitoring 2-5 Years

Basic Graphic Design>Canva 2-5 Years

Performance Coaching 1-2 Years

• Insurance & Claims Platforms: Availity, CMS, NPPES • 2-5 Years

Experience highlights

Operations Supervisor, US Healthcare Operations

Teleperformance · October/2024 – Present

Led team of 17-19 members, scaling to 27 as needed. Maintained 99% QA and 95% attendance. Improved CSAT from 87% to 91%. Increased productivity from 6 to 8 cases per hour through coaching and workflow monitoring.

Social Media Manager, Part-Time

Ernesto's Fastfood Restaurant · February/2023 – Present

Created and scheduled 3+ daily social media posts for startup restaurant. Designed promotional graphics and edited materials. Responded to customer inquiries via Messenger. Monitored engagement and supported advertising campaigns.

Customer Expert Representative, US Healthcare Account

Teleperformance · April/2021 – Present

Supported US healthcare members with claims, eligibility, benefits, and account inquiries. Researched member and insurance information across systems. Utilized Availity, Claims Repository, BlueSquared, DIAMOND, QUEST, EWOC, EIP, and APT.

Social Media Manager

GT Sakura Trading Surplus Mall · June/2020 – Present

Created and managed startup's Facebook page, building online presence through consistent content and paid advertising. Designed graphics, edited photos, scheduled posts. Built community to 13,000 followers.

E-commerce Store Owner / Online Sales Administrator

Self-Employed · January/2018 – Present

Managed e-commerce operations on Shopee Philippines independently. Maintained 5.0/5.0 rating across 44 reviews. Handled product listings, customer inquiries, order processing, shipping, and inventory management.

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