Hi, I'm Cristel! With over 5 years of customer support experience across healthcare, telecommunications, and retail, I specialize in making complex administrative and customer care processes feel effortless.
My primary focus is healthcare customer support and virtual assistance—specifically managing high-volume calendar scheduling, real-time dental and health benefit verifications, claims processing, and billing support. Whether I'm guiding policyholders through claims submissions, managing multi-channel communications (voice, chat, and email), or troubleshooting account inquiries, my goal is always the same: to deliver clear answers with genuine care, efficiency, and full HIPAA compliance.
Backed by a background in Tourism Management, I bring a client-first mindset, adaptive technical skills, and strong organization to every team I join. Let's connect and streamline your operations!
Our Lady of Fatima University
Tala high School
Healthcare voice account
Insurance company
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In my previous job at an insurance company, my responsibilities encompassed the following:
-Handling phone calls from members regarding their payments, including assisting with new payments and addressing issues related to monthly billing, such as clarifying reasons for increased charges.
- Providing essential documents such as ID cards, Explanations of Benefits, Evidence of Coverage, and Tax
- Resolving concerns pertaining to claims, including investigating denials and ensuring accurate processing.
- Adhering to HIPAA guidelines to maintain confidentiality and protect member information.
- Verifying whether healthcare providers are in-network or out-of-network by cross-checking tax ID and NPI.
- Coordinating with the doctor's office when members have appointments, obtaining the CPT code, and verifying coverage, copay, deductible, coinsurance, and allowed amounts through our system.
- Explaining reasons for pre-authorization denials and confirming if a referral is required from the primary care physician.
- Checking eligibility status for
- Updating personal information and demographic details in our system.
- Facilitating conference calls between members and the doctor's office to schedule appointments.
- Additionally, as part of my responsibilities, I would send follow-up emails to members regarding their cases if they were not reachable through phone calls. In such instances, I would also securely email important documents and information using encryption to ensure data protection.
I handled these responsibilities diligently, ensuring effective communication, accurate information, and exceptional service to our members.
Seasonal voice 3 mos
-Healthcare account
-Answer incoming calls about customers who wants to schedule an appointment for covid vaccine and test , data entry- will put their info in the system and will check the available schedule date , if customer agree , will book the appointment and provide a reference number.
-Retail account
-Answer incoming calls when their online order got cancelled . Csr need to investigate if its a fraud order and decides if the order will remain cancel due to fraud or will be reorder .
I used to have a business that involved selling household items such as soap, dishwashing products, fabric conditioners, baby powder, cologne, liquid soap, and more. Since it was during the pandemic and going out to deliver and sell was challenging, I decided to sell online. I created a Facebook page called "Personal Collections" and started posting my available items daily. I engaged in organic marketing by joining different Facebook groups with many members. I would share my posts in these groups, and in no time, my page gained over 1000 followers and 965 Likes.
Moreover, I took charge of interacting with customers, addressing their inquiries about product details, availability, price, and any concerns they had. When they wanted to make a purchase, I also handled the delivery process. Additionally, I recruited four people to join my business. Overall, the Facebook page was a success
Here is the link for your reference: https://www.facebook.com/Personal-Collection-474342023320444/
Efficient multitasker providing comprehensive support to executives, handling schedules, correspondence, and ensuring se
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
comprehensive administrative support to healthcare professionals. Streamline operations and enhance patient care.
