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Cristal A. — Junior Healthcare Operations Specialist from Philippines

Cristal A.

Junior Healthcare Operations Specialist

Philippines 1-2 years
Open to offersNew to Platform
Languages
EnglishTagalog
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About

Cristal A. is a third-year Bachelor of Science in Civil Engineering student at Jose Maria College Foundation Inc. in Davao City with a focus on construction management. She has experience as an Operations Customer Expert I in the healthcare industry, where she processed medical claims with a strong command of ICD-10 and CPT coding and managed sensitive Patient Health Information compliant with HIPAA regulations. In the construction sector, Cristal served as a Time Keeper/Site Admin Assistant, overseeing attendance, payroll reconciliation, and site logistics for a workforce of 80 personnel. Cristal also worked as an Appointment Setter bridging marketing leads to account executives via expert coordination of complex calendars. Her proficiency in Microsoft Office, Go High Level, and electronic health record systems supported her strong execution in both healthcare operations and construction administration.

Experience

  • Appointment Setter

    Company not specified · 2026 — 2026
    Engaged in prospecting and qualifying inbound and outbound leads through phone, email, and text. Arranged qualified demos for the closing team by managing advanced scheduling and calendar coordination across multiple time zones. Addressed objections to secure scheduled consultations and facilitated communication between marketing leads and senior account executives.
  • Operations Customer Expert I (Healthcare Account)

    Company not specified · 2024 — 2025
    Reviewed medical claims and authorizations weekly, applying ICD-10 and CPT coding practices to prevent billing denials. Maintained compliance with HIPAA regulations while handling Patient Health Information (PHI). Utilized healthcare portals and Electronic Health Records (EHR) to update claim statuses and served as a liaison among patients, providers, and insurance carriers for pre-authorization coordination. Addressed billing inquiries and conducted root-cause analysis on denied claims.
  • Time Keeper/ Site Admin Assistant (Part-time)

    Company not specified · 2023 — 2024
    Oversaw daily attendance and man-hour tracking for site personnel, including subcontractors and specialized trades. Reconciled site sign-in records with digital time-tracking software to enable accurate weekly payroll processing. Tracked overtime, night shift, and holiday pay according to labor laws and company guidelines. Produced regular labor productivity reports for Project Managers. Coordinated logistics such as equipment maintenance, supply inventory, and scheduling safety orientations for new hires.

Skills & Expertise

Education

  • Bachelor of Science in Civil Engineering Major in Construction Management
    JOSE MARIA COLLEGE FOUNDATION INC. · 2019 — 2024

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