2014
Diploma in Hotel and Restaurant Services
Montessori Professional College
More Info About Me
Hi there! I'm Merkhan Rueda, and I'm a Professional Virtual Assistant with a genuine passion for making businesses run smoother and more efficiently. You know, I've spent over two years in the fast-paced BPO industry and five years as an Admin and Sales Assistant, which really taught me how to wear many hats and get things done.
I'm truly detail-oriented and results-driven, and I pride myself on being able to juggle multiple tasks, solve problems effectively, and build strong relationships with clients. Whether it's managing appointments, handling calls, or even getting those tricky prior authorizations done in healthcare – I bring dedication and professionalism to every single task. I'm also really comfortable with tools like OMNI, PORTICO, QuickBooks, and Google Workspace, among others.
Ultimately, I thrive in dynamic environments, and I'm always eager to adapt to new challenges. I'm looking forward to bringing my skills and experience to a team that values efficiency and exceptional service, helping you streamline your operations and achieve your goals.
My Skills and Competencies
Social Media Manager
Bookkeeping
Data Entry
Medical VA
Executive Admin Assistant
General VA
Customer Service Representative
Certificates
Work Experiences
May 2024
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present
Axiom Health Management
(Prior Authorization Associate (Medical VA))
Expertly oversaw remote permission requests and documentation, ensuring absolute correctness and strict adherence to set procedures.
Clarified intricate insurance details to patients, confirming active primary care provider status and comprehensive insurance coverage.
Proactively conducted outbound calls to doctors' offices regarding authorization requests, reaching out to healthcare providers to address required therapy visits and initiate prior authorizations when needed.
Efficiently sent authorization requests to PCP doctors via fax and performed diligent follow-up calls within 24 to 48 hours.
Demonstrated keen attention to detail in verifying documentation and making timely, critical decisions on authorization requests.
Utilized Google Sheets to meticulously track all patients, manage authorization requests, monitor visit depletion, and employed Google Calendar for effective task reminders.
Collaborated seamlessly with team members to maintain smooth operations and consistently meet departmental objectives.
Leveraged various tools and systems to facilitate clear communication and efficient document management within the department.
Significantly contributed to the overall effectiveness of the authorization process through diligent work and unwavering dedication to quality service delivery.
Sept 2022
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July 2024
Everise PH
(Healthcare Customer Service Representative)
Provided exceptional customer service, assisting members with inquiries concerning claims, plan benefits, medical authorizations, and other related matters.
Efficiently managed grievance and appeal processes, ensuring timely resolution and high customer satisfaction.
Conducted outbound calls to reconnect with members after disconnections and proactively contacted healthcare providers to address and resolve customer concerns.
Clearly explained billing statements and claims details to members, ensuring their understanding of financial responsibilities and coverage.
Collaborated closely with internal teams to escalate complex issues and streamline communication channels for effective problem-solving.
Maintained accurate records of customer interactions and transactions in the CRM system for easy follow-up and comprehensive documentation.
Received commendations from supervisors for consistently meeting and exceeding performance targets, including call quality, productivity, and customer satisfaction metrics.
Sept 2021
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Nov 2022
TTEC PHILIPPINES
(Customer service representative)
Provided comprehensive support to food delivery riders, assisting with orders, payouts, and any issues encountered during shifts.
Addressed inquiries and concerns regarding the food delivery platform, including app navigation, order processing, payment procedures, and troubleshooting technical issues.
Conducted basic troubleshooting of the delivery app, guiding riders through steps to efficiently resolve common issues.
Acted as a crucial liaison between riders and the company, ensuring clear communication and timely resolution of problems or disputes.
Delivered exceptional customer service to riders, maintaining a consistently positive and supportive attitude in all interactions.
Collaborated with cross-functional teams (operations, technical support) to escalate complex issues and implement effective solutions.
Consistently met and exceeded performance targets, including customer satisfaction metrics, call quality standards, and productivity goals.
Nov 2020
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Aug 2021
TELEPERFORMANCE
(Customer Service Representative)
Provided personalized assistance to customers with radio satellite subscriptions, offering solutions tailored to their unique needs and budget.
Acted as a knowledgeable resource on subscription packages, promotions, and features, guiding customers to optimize their listening experience.
Demonstrated expertise in troubleshooting common issues related to radio satellite services, including signal reception, account access, and device compatibility.
Upheld high standards of customer service, ensuring prompt resolution of inquiries, complaints, and technical concerns to enhance overall satisfaction and loyalty.
Leveraged strong communication and negotiation skills to promote subscription upgrades, add-on services, and special offers, maximizing revenue generation and customer retention.
Collaborated effectively with cross-functional teams (sales, technical support, billing) to address complex customer issues and facilitate seamless service delivery.
Consistently achieved and exceeded performance targets, including sales quotas, customer satisfaction ratings, and call handling metrics, contributing significantly to the radio subscription account's success.
2020
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2022
Pawfect life pets supplies and accessories trading
(Social Media Manager)
Branding, social media marketing, managing post from time to time, answering customer inquiries.
April 2020
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January 2022
Pawfect life pets supplies and accessories trading
(E-Commerce)
Managing stocks, packing orders, doing inventory (first in, first out policy), outsourcing items, answering customer inquiries and complaints, monitoring financial expenses and income.
2015
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2020
COEM Sales and Supplies Inc.
(Admin and Sales Assistant)
Conducted comprehensive product canvassing activities, meticulously researching and identifying potential clients and market opportunities to bolster sales initiatives.
Managed the entire invoicing process, ensuring accurate and timely billing for products and services rendered to clients.
Maintained organized filing systems, efficiently managing and archiving documents for easy retrieval and compliance with record-keeping requirements.
Proactively contacted clients via phone, email, or in-person visits to schedule appointments and follow up on leads, maximizing opportunities for engagement and sales conversion.
Prepared and delivered compelling product presentations and offers to prospective clients, highlighting key features, benefits, and value propositions to address their specific needs and preferences.
Coordinated and participated in meetings with clients, discussing requirements, negotiating terms, and finalizing agreements to secure new business opportunities and nurture existing relationships.
Collaborated closely with the sales team to develop effective strategies, share vital market insights, and coordinate promotional activities to drive revenue growth and achieve sales targets.
Received commendations for exemplary performance and unwavering dedication to delivering exceptional administrative and sales support, directly contributing to the organization's success and growth.
My Services
Medical Virtual Assitant
Patient care coordinator | Prior authorization coordinator | Health Insurane verification | HIPAA Compliant
Social Media Management
Social Media Marketing is telling the world you’re a rock star. Content Marketing is showing the world you are one.
Bookkeeper
Recording and maintaining a business’ financial transactions, such as purchases, expenses, and other transactions.
E-commerce Virtual Assistant
● Managing your listings ● Fulfilling orders ● Monitoring and managing your inventory ● Optimizing product listings ● Ed
TESTIMONIALS
Hervylie Senica
I have had the pleasure of working with Merkhan in her role as an Authorization Specialist, and I can confidently say that her professionalism, attention to detail, and deep understanding of compliance protocols make her an invaluable asset to any organization.
Merkhan consistently demonstrates a thorough knowledge of authorization processes, insurance requirements, and healthcare regulations. Her ability to navigate complex cases, ensure timely approvals, and communicate effectively with both providers and payers has significantly improved workflow efficiency and patient satisfaction in our team.
What sets Merkhan apart is his proactive mindset. She is not only ensures accuracy and compliance in every case but also looks for ways to streamline procedures and prevent delays. Her work ethic, reliability, and calm demeanor under pressure make him a dependable team member and a leader by example.
I highly recommend Merkhan for any position requiring strong analytical skills, regulatory knowledge, and a commitment to excellence in healthcare administration
DHAMIELYN SARNO, MIT
Merkhan is extremely easy to deal with and knows how to ask the right questions when she isn't sure of the best direction for a project. You would love to hire her again and again for just about every project.
BRYCE ELIJAH CRUZ
I've worked with Merkhan for 6 months, but within that short amount of time, she struck me as a hard-working person. She asks the right questions and gets the job done to the best of her ability. You would love to hire her to your company or project.