Bachelor of Secondary Education Major in English
Cavite State University -Silang Campus
A highly dependable, teachable, and detail-oriented Healthcare Virtual Assistant with two (2) years of experience in teaching students of various ages and four (4) years of experience as a consistent top customer service representative and a Subject Matter Expert (SME).
I have intensive knowledge and skills in handling US healthcare insurance queries and complaints of insurance holders, provider’s offices, and/or agents.
I have been promoted as a Subject Matter Expert (SME) to help the team with their questions about insurance coverage, premium billing, medical billing (UB04 and copay invoices), Explanation of Benefit (EOB), and claims process and status
I served as an assistant to my manager for about four (4) years by providing helpful tips to the team in coming up with accurate call resolutions as well as conducting one-on-one meetings.
Cavite State University -Silang Campus
Provide helpful tips to the team in coming up with accurate call resolution and improving their product knowledge and skills in navigating the tools
Present weekly SOP updates and work guidelines in a team meeting
Answer inquiries of the team members about insurance coverage, medical billing (UB04 and copay invoices), Explanation of Benefit (EOB), and claims process and status
Review the correctness of the claims and authorization documents
Comply with HIPAA regulations
Communicate with the insurance holder, provider’s office, and/or agent for pending requirements and claims status
Provide excellent customer service experience with accurate resolution while abiding by the company's SOP and state rules
Guide newly hired representatives to improve their knowledge and skills of the product
Audit calls for quality assurance
Write comments for each audited call
Conduct one-on-one meeting
Answer inquiries about prescription drug plan coverage, state law restrictions related to each plan, medication refill and status, prior authorization, and premium billing.
Provide excellent customer service experience with accurate resolution, time management, and positive scripting
Class adviser for 2 school years
Senior High School Research English Critic and Research Adviser
Student Organization Adviser and Event Coordinator
Highschool and Elementary Teacher
Develop curriculum by preparing comprehensive lesson plans, engaging learning activities, and purposeful assessments for students learning using Google Workspace, PowerPoint Presentation, Canva, etc.
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Search the Internet for information on a wide variety of topics.
Scheduling appointments, handling correspondence, and managing records.
Creating slides presentations, Minutes of Meeting, email, travel and calendar events management