With 6 years of progressive experience in the BPO industry, I’ve built expertise across diverse functions such as benefits administration, directory assistance, dental insurance verification, medical claims processing, and prior authorization. My strength lies in quickly adapting to new challenges, mastering complex processes, and maintaining a positive, goal-oriented mindset in fast-paced environments. I’m committed to continuous learning, professional growth, and delivering exceptional service that supports both team and organizational success.
Southern Leyte State University-Tomas Oppus
-Responsible for directing and planning the day-to-day operations of group programs (group health, dental, vision, workers' compensation, life insurance, retirement plan, etc.)
-Help people access caller information via a list or database of phone numbers or other contact information
-Greeting customers in a friendly, professional manner using the suggested script
-Provide members and health care practitioners with details regarding members' benefits.
-Calculate the benefit expected and update patient information
-Investigate and resolve any issues of discrepancies in claims
-Maintain accurate records of claims and payment
-Review patient’s authorization status utilizing the tools and websites needed to provide appropriate action and update authorization status
-Contact insurers to obtain payer specific prior authorization for all clinical, laboratory and pharmacy services
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