Healthcare CSR | Medical Receptionist
Leyte
I worked as a Customer Service Representative in the BPO industry for almost 3 years. I handled Sales account for 11 months wherein my job is to answer and assist phone call from our subscriber and make sure to resolve their concern and exceed their expectation. During that time, I do upsell, process payment and bill concern, provide the coverage of the plan that they have, including the channel list, walk them through in their online account and also help them with minor technical issues. After 11 months of working them my previous company, I decided to change my career and apply in healthcare account. I've been a Customer Service Representative with my second company 9healthcare account) for 6 months and was given an opportunity to become one of the temporary Team Captain (SME). During the time when I was still a CSR, my job is to provide the benefit information of the member, eligibility, process payment, verify the plan that they have with us, I am also Claims trained in which my job is to verify the claim and the member's responsibility, I handle prior authorization for prescription benefits of the member or update account information as well as to help the member navigate their online account. Because of those experiences, I got the chance to travel to India to worked as a Support from the Philippines for a month and support the pioneering healthcare (Humana) account they're under the same company name (Sagility). I am HIPPA compliance by heart, and I am ready to help your company assist more client in the future and provide excellent service which is beneficial to everyone. Hope to work with you soon!
SAGILITY, full_time
Oct 2024 to Jul 2026
Worked as a CSR for 6 months wherein my main job is to answer inbound calls and assist our healthcare members with their benefit and eligibility information, clarify the claims submitted, process payment, help them with the prior authorization of their medications and provide excellent solutions to their problem.
RESULTSCX, full_time
Jun 2023 to May 2024
Worked as a full-time CSR and answer inbound calls. Assist member with their plan subscription, process cancellation, upsell, and provide excellent resolution to their problems.