Healthcare VA | BCBS Expert | Accurate Empathetic
Davao del Sur
I’m a healthcare support professional with hands-on experience handling U.S. insurance accounts, specifically with Blue Cross Blue Shield of Florida. I specialize in eligibility verification, claims processing, prior authorizations, and resolving member concerns with accuracy and efficiency. In my previous role, I managed 45–50 calls daily while maintaining a 95% QA score and 98% accuracy in eligibility verification. I also helped reduce escalations by 90% through clear communication and effective problem-solving. These results reflect my ability to stay detail-focused while working in fast-paced, high-volume environments. What sets me apart is my balance of technical knowledge and patient-centered service. I’m experienced with tools like Avaya One X, Availity, and EMR/EHR systems, and I have a strong understanding of HIPAA compliance and insurance workflows. At the same time, I prioritize empathy and clarity—ensuring every interaction builds trust and resolves issues efficiently. I’m reliable, proactive, and comfortable working remotely with minimal supervision. My goal is to consistently deliver accurate work, reduce operational friction, and provide a seamless experience for both clients and patients.
Blue Cross Blue Shield, full_time
Sep 2024 to Dec 2025
Blue Cross Blue Shield of Florida -Handled 45–50 calls daily with 95% QA score -Maintained 98% accuracy in eligibility verification -Reduced escalations by 90% through effective resolution