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Clarisse P. — Mid-Level Healthcare Training Specialist from Philippines

Clarisse P.

Mid-Level Healthcare Training Specialist

Philippines 6+ years
Open to offersNew to Platform
Languages
EnglishTagalog
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About

Clarisse T., a proficient Healthcare Operations & Training Professional, brings over six years of specialized experience in medical billing, insurance verification, and claims processing. She excels in benefits administration and workforce training, with a keen focus on training high-performing teams, ensuring compliance, and optimizing workflows for quality outcomes. As an Account Trainer I at Coronis Health, she led comprehensive onboarding and training programs, created job aids, and enforced policy compliance while processing medical claims efficiently. Clarisse has effectively communicated with payers for claim resolution and conducted outbound calls for authorization verification. Her prior roles at Carelon Global Solutions and Alorica Teleservices honed her customer service skills, managing healthcare insurance inquiries and providing support. Academically, she is advancing in Accounting Information Systems, leveraging technical proficiencies in EMR/EHR systems, claims management, and Microsoft Office applications.

Experience

  • Account Trainer I (Healthcare)

    CORONIS HEALTH · 2021 — 2026
    Facilitated comprehensive onboarding and training for new employees, ensuring readiness for production, adherence to quality standards, and mastery of processes. Developed and updated job aids, SOPs, and training resources to enhance workflow efficiency and knowledge retention. Assessed performance, led coaching sessions, and upheld compliance with healthcare regulations. Managed the processing and submission of a high volume of medical claims, ensuring compliance with payer requirements and timely submissions. Conducted outbound calls to payers for authorization verification, claim resolution, and follow-ups.
  • Customer Service Representative (Healthcare)

    CARELON GLOBAL SOLUTIONS · 2021 — Present
    Managed inbound calls for healthcare insurance accounts, addressing inquiries related to eligibility, benefits, and claims. Delivered clear and effective customer support to both providers and members. Performed outbound calls to insurance companies to obtain patient medical records for HEDIS reporting.
  • Customer Service Representative

    ALORICA TELESERVICES · 2019 — 2020
    Handled incoming calls for healthcare insurance accounts, assisting customers with inquiries about eligibility, benefits, and claims while providing reliable customer service.

Skills & Expertise

Education

  • Bachelor of Science in Accounting Information Systems
    Bestlink Colleges of the Philippines · 2020 — 2024
  • Senior High School – STEM Strand
    ABE International Business College · 2018 — 2020