Calamba, Calabarzon, Philippines
Dedicated and detail-oriented Customer Service Representative – Clinician with hands-on experience supporting healthcare providers, nurses, and CMAs in managing patient information, verifying insurance eligibility, and processing prior authorizations. Skilled in maintaining accurate medical records, ensuring HIPAA compliance, and facilitating smooth communication within clinical teams. Recognized for strong work ethic, perfect attendance, and a commitment to delivering high-quality administrative and clinical support in fast-paced healthcare environments.
•Provided direct support to healthcare providers, nurses, and Certified Medical Assistants (CMAs), acting as a key liaison between clinical staff and administrative teams. •Assisted in managing and verifying patient information such as medical histories, insurance eligibility, and benefits to ensure accurate processing of healthcare claims and services. •Processed prior authorizations for medical procedures and treatments by coordinating with insurance companies and healthcare providers to obtain necessary approvals. •Updated and maintained accurate electronic medical records (EMR), ensuring patient data was current and compliant with healthcare regulations. •Ensured strict adherence to patient confidentiality and HIPAA compliance by handling sensitive information with the utmost care and discretion. •Responded promptly and accurately to clinical and administrative inquiries, resolving issues related to patient care and insurance coverage. •Developed strong communication skills through detailed and clear interactions, effectively supporting healthcare workflows. •Collaborated with cross-functional teams including providers, nurses, insurance representatives, and administrative staff to facilitate smooth healthcare service delivery and improve patient outcomes.
•Managed the reception area by warmly greeting visitors and ensuring a professional and welcoming environment. •Answered and directed phone calls promptly, addressing inquiries and providing accurate information efficiently. •Coordinated appointments and maintained schedules for staff and management, ensuring timely and organized meetings. •Facilitated clear communication between clients, staff, and management to support smooth daily operations. •Handled various administrative tasks including filing, data entry, and managing correspondence to keep office records organized and up-to-date. •Delivered excellent customer service by addressing visitor and client needs promptly and courteously. •Demonstrated strong organizational skills and the ability to multitask effectively in a fast-paced office setting. •Contributed to creating a positive first impression for visitors, enhancing overall office efficiency and professionalism.
•Supported student research activities by regularly informing students of important announcements, deadlines, and procedural updates to ensure timely task completion. •Reviewed research papers for accuracy, formatting, and compliance with institutional guidelines and standards, helping maintain the quality and integrity of academic work. •Facilitated effective communication between students and faculty members, coordinating schedules, clarifying requirements, and addressing concerns to promote a smooth research process. •Managed administrative tasks related to student research, including organizing documents, maintaining records, and tracking progress. •Demonstrated strong organizational skills by prioritizing multiple tasks and ensuring deadlines were consistently met. •Utilized clear and professional communication to assist in resolving issues and supporting both students and faculty throughout the research process.