Medical Receptionist | U.S. Healthcare Experience | Customer Service
Batangas, Lemery, Philippines
I am a healthcare customer service professional experienced in supporting patients as a first point of contact in a fast-paced healthcare environment. I assist with patient inquiries, appointment confirmations, insurance support, and EMR documentation while ensuring accurate and timely coordination between patients and healthcare teams. I am committed to delivering empathetic and professional service, maintaining confidentiality, and helping ensure a smooth and positive patient experience.
Access Healthcare, full_time
Jul 2025 to May 2026
• Handled inbound and outbound calls with patients, providers, and insurance companies as a primary point of contact for inquiries and support. • Assisted patients with appointment confirmations and reviewed referrals to ensure timely care coordination. • Verified and updated patient demographic information while maintaining accurate EMR/EHR records. • Relayed patient concerns and messages to providers, including assessing symptoms and escalating urgent cases to nurse triage when necessary. • Managed prescription-related requests and pharmacy inquiries. • Ensured HIPAA compliance while delivering accurate, empathetic, and professional customer service.
ResultsCx, full_time
Nov 2022 to Sep 2024
• Handled escalated member concerns, ensuring timely resolution of complex issues under Medicare Advantage plans. • Reviewed accounts, benefits, and eligibility to provide accurate information and appropriate solutions. • Coordinated with internal departments, providers, and insurance representatives to resolve billing, coverage, and authorization issues. • Assisted members with complaints, grievances, and urgent service requests while maintaining professionalism and empathy. • Documented all interactions accurately in compliance with HIPAA regulations and company policies.
ResultsCx, full_time
Jul 2021 to Nov 2022
• Assisted members with benefits, eligibility, coverage, claims, and plan inquiries for Medicare Advantage and Prescription Drug Plan. • Handled inbound and outbound calls to resolve account concerns and ensure timely issue resolution. • Supported medical (Part C) and pharmacy-related services, including coverage questions, prior authorizations, and medication benefits. • Verified member information and explained plan details to improve understanding of healthcare coverage. • Coordinated with insurance providers, pharmacies, and internal departments for escalations and issue resolution. • Documented member interactions in CRM systems while ensuring HIPAA compliance and data accuracy. • Delivered high-quality customer service focused on accuracy, efficiency, and member satisfaction.