Experienced healthcare support professional with over 10 years of BPO experience handling telecommunications, airline, and healthcare accounts. Strong background in patient intake, insurance verification, prior authorizations, claims processing, and appeals management. Proficient in EHR/EMR systems and knowledgeable in maintaining strict compliance with HIPAA regulations. Recognized for accuracy, efficiency, and delivering high-quality patient-centered service.
University of Eastern Philippines
• Verified insurance eligibility and updated patient demographics.
• Maintained strict HIPAA compliance when handling confidential information.
• Submitted, tracked, and documented insurance claims via billing systems and payer portals.
• Managed denials and appeals to secure reimbursements.
• Resolved escalated billing issues in a timely manner.
• Followed up with payers to expedite claim payments.
• Coordinated with coders and teams to correct claim discrepancies.
• Reviewed aging reports and analyzed denial trends to improve approval rates.
• Handle inbound and outbound calls regarding flight reservations
• Book, modify, and cancel airline tickets
• Assist customers with baggage policies, seat selection, and special service requests
• Provide fare quotations and explain airline rules and restrictions
• Process refunds, rebookings, and schedule changes
• Resolve customer concerns in a professional and timely manner
• Accurately document interactions in reservation systems
• Meet performance metrics such as quality, productivity, and customer satisfaction
• Handle high-volume inbound calls from customers
• Respond to inquiries about products, services, billing, and promotions
• Identify customer needs and recommend appropriate products or upgrades
• Upsell and cross-sell services to meet sales goals
• Process orders, payments, and account updates accurately
• Resolve customer concerns in a professional and timely manner
• Maintain accurate documentation of customer interactions
• Meet or exceed sales targets, quality standards, and productivity metrics
• Assisted patients and providers with benefits verification, eligibility, and provider locator
support.
• Processed prior authorizations, guarantee letters, and prescription refill requests in a timely
manner.
• Managed claims and appeals to ensure accurate reimbursement and resolution of billing issues.
• Coordinated with providers and pharmacies regarding medication approvals and refill
authorizations.
• Maintained strict compliance with HIPAA regulations when handling confidential patient
information.
Responsible for procuring, managing, and distributing food and provisions for ships. Oversees
inventory control, storage, budgeting, and food service operations while ensuring sanitation
standards and supply efficiency. Coordinates logistics to maintain adequate stock levels and
support daily operational requirements.
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.