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Galilea S. — Mid-Level Healthcare Authorization Specialist from Philippines

Galilea S.

Mid-Level Healthcare Authorization Specialist

Philippines 3-6 years
Open to offersNew to Platform
Languages
English
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About

Galilea A. is a skilled professional with extensive experience in healthcare management and trade operations. In her role as a Trade Administrator in NSW, Australia, she effectively managed trade transactions, ensured documentation compliance, and facilitated seamless interactions with clients and suppliers, leveraging her strong working knowledge of CRM systems. Previously, as a Senior Team Lead at Omega Healthcare Management Services, she was responsible for preparing detailed prior authorization requests, reviewing medical records for compliance, and acting as a liaison between healthcare providers and insurance companies. Her expertise extends to guiding a team of 90 agents as an Account Supervisor at Sykes Asia, where she ensured alignment with company and client goals. Proficient in MS Office and Google Apps, Galilea has a proven track record of HIPAA-compliant data handling, further showcasing her capability in managing sensitive healthcare data.

Experience

  • Trade Administrator

    null · 2025 — 2026
    Supports trade operations for an Australian-based company by processing transactions, managing documentation, and ensuring adherence to regulations. Coordinates with clients, suppliers, and internal teams to facilitate efficient trade activities.
  • Senior Team Lead

    Omega HealthCare Management Services · 2023 — 2025
    Prepares and submits prior authorization requests to insurance providers, ensuring accuracy and completeness of clinical documentation. Reviews medical records to determine authorization needs for treatments, procedures, and medications, adhering to insurance guidelines. Acts as a liaison between healthcare providers and insurers to clarify requirements and resolve issues, while monitoring request statuses and maintaining detailed records.
  • Trade Administrator

    null · 2023 — 2023
    Handles trade operations for an Australian-based company through transaction processing and documentation management, ensuring compliance with relevant regulations. Works closely with clients, suppliers, and internal teams for seamless trade execution.
  • Account Supervisor

    Sykes Asia · 2022 — 2023
    Oversees 6 Team Leads and 90 technical agents, ensuring motivation and alignment with company and account goals. Participates in weekly business reviews and finalizes financials and utility allowance at month-end.
  • Team Lead

    Sykes Asia · 2021 — 2022
    Leads a team of technical agents, focusing on motivation and alignment with company and client requirements. Ensures that goals set by the client are met and achieved.
  • Quality Assurance Coordinator

    Sykes Asia · 2020 — 2021
    Conducts audits of agent calls and offers coaching to improve performance. Facilitates call listening sessions for operations and participates in client calibration activities.
  • Team Leader

    Sykes Asia · 2019 — 2020
    Manages a team of technical agents, ensuring they remain motivated and aligned with company and client expectations. Focuses on achieving required goals and objectives.
  • Quality Assurance Coordinator

    Sykes Asia · 2017 — 2019
    Performs call audits for agents and provides coaching. Conducts call listening sessions for operations, engaging in client calibration as needed.
  • Tier 1 Customer Representative

    Sykes Asia · 2017 — 2017
    Handles incoming phone calls and assists customers with technical inquiries.
  • Quality Assurance Coordinator

    Sykes Asia · 2016 — 2017
    Audits agent calls and delivers coaching. Facilitates call listening sessions and participates in client calibration and listening sessions.
  • Tier 1 Customer/Technical Representative

    Sykes Asia · 2014 — 2016
    Answers customer phone calls and provides assistance with technical queries.

Skills & Expertise

Education

  • Bachelor of Science in Computer Science
    Saint Michael College of Caraga
  • Secondary
    Ambassador Pablo Suarez National High School
  • Primary
    Bicao Elementary School

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