Customer Support Healthcare Specialist
Cebu
Hello! My name is Mark Dhaniel Caumeran, and I have over 10 years of experience in customer service, technical support, sales, and healthcare support. Throughout my career, I've worked with global companies, helping customers resolve complex issues, process insurance-related requests, provide technical assistance, and deliver exceptional service. My background includes technical support, prior authorization, medical billing support, customer care, and sales, giving me the flexibility to adapt to different industries and client needs. I'm skilled at communicating with customers, solving problems efficiently, managing multiple tasks, and maintaining accuracy even in fast-paced environments. What sets me apart is my commitment to providing a positive customer experience. I take pride in being dependable, detail-oriented, and proactive. I learn new tools and processes quickly, work well independently or as part of a team, and always strive to exceed expectations. If you're looking for a professional who is reliable, adaptable, and dedicated to delivering high-quality results, I'd be excited to contribute to your business and help your customers have an outstanding experience. I look forward to working with you!
Optum Global Solutions Optum Global Solutions, full_time
Oct 2025 to Jun 2026
Responsible for initiating medication authorizations through providers’ offices, processing requests via phone, fax, and online applications, and conducting outbound follow-ups for denied authorizations.
Tahche Outsourcing Services Inc., full_time
Jan 2025 to Jul 2025
Image Care Center providing advanced imaging services such as mammograms, CT scans, MRIs, bone density tests, X-rays, and ultrasounds. Billing statements are submitted to the patient’s insurance, and payment collection is managed either through patient outreach calls or by patients contacting the billing department directly.
Accenture Inc. (Verizon Account Telecommunication), full_time
Apr 2024 to Jan 2025
Verizon Wireless consumer telecommunications account specializing in postpaid plans, customer services, perks, and technical support.
XtendOps Philippines Inc., full_time
Oct 2023 to Feb 2024
Factor and Green Chef accounts specializing in ready-to-eat food packages, providing convenient meal solutions for customers.
Dexcom Philippines Inc., full_time
Jan 2022 to Aug 2023
Focuses on customer glucose monitoring through a receiver device or mobile app. Provides assistance to customers experiencing technical issues with device functionality or reading accuracy.
Optum Global Solutions, Inc., full_time
Oct 2015 to May 2021
Point of Contact (POC) - Pharmacy Help Desk role focusing on administrative tasks, team management, performance feedback on individual and group scores, and conducting coaching sessions to enhance skills and knowledge within the account. Subject Matter Expert (Inbound) – Pharmacy Help Desk specializing in pharmaceutical claims under Part D insurance. Responsibilities include processing early medication refills for situations such as vacations, dosage changes, high-cost prescriptions, emergencies, long-term care, and lost medication overrides, as well as handling escalations and management calls. Customer Infusion set billing representative (Back Office) – Responsible for billing customers through their hospital health insurance Part C, utilizing CPT and HCPCS codes. Billing details are forwarded to the collections team to generate total charges based on insurance coverage.