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Gemma F. — Senior Healthcare Support Specialist from Philippines

Gemma F.

Senior Healthcare Support Specialist

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

Gemma F. is a dedicated Healthcare Support Professional with over 7 years of experience specializing in healthcare customer service, provider relations, and claims management. As a Provider Contact Center Representative and Case Management Coordinator at EXL Services Philippines, Gemma skillfully handled provider inquiries, verified member eligibility and benefits, and communicated authorization statuses. Her role required maintaining precise medical documentation and supporting the provider network while aligning with compliance standards. Additionally, as a Registered Midwife, Gemma assisted physicians in patient assessments and clinical procedures, managed inventory, and provided patient education. Her robust expertise in medical terminology and effective data entry is complemented by an adeptness with the Microsoft Office Suite and a strong understanding of HIPAA regulations, enabling her to deliver high-quality patient care and operational support. Gemma seeks to apply her comprehensive healthcare knowledge and analytical skills as a Medical Virtual Assistant to enhance patient care efficiency.

Experience

  • Provider Contact Center Representative / Case Management Coordinator

    EXL Services Philippines · 2018 — 2026
    Assisted healthcare providers with inquiries regarding claims status and resolved issues. Verified member eligibility along with benefits and coverage information. Communicated with providers about authorization status and anticipated turnaround times. Processed various requests including escalations and reconsideration inquiries. Ensured accurate documentation of all interactions and case updates. Addressed concerns related to provider network participation. Identified potential fraud cases adhering to compliance guidelines. Delivered high-quality customer service while adhering to performance metrics.
  • Registered Midwife

    Company not specified
    Assisted physicians during patient assessments, deliveries, and clinical procedures. Monitored vital signs of patients and maintained accurate medical records. Provided education and support to patients regarding their healthcare. Aided in medication handling, inventory management, and maintaining clinical documentation. Collaborated with healthcare teams to ensure the delivery of quality patient care.

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