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Ivy J. — Junior Healthcare Customer Service Representative from Philippines

Ivy J.

Junior Healthcare Customer Service Representative

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

Ivy Jean M. is a dedicated Customer Service Representative with a background in the healthcare industry, specializing in guiding members through healthcare coverage, benefits, and eligibility. A graduate of Davao Oriental State University with a Bachelor of Science in Mathematics majoring in Research Statistics, Ivy Jean M. leverages strong statistical analysis and data management skills, utilizing tools such as IBM SPSS Statistics, R Studio, Minitab, Microsoft Office & Excel, Wellsky, and Axiscare. Her professional experience includes processing insurance claims and appeals, assisting patients with medication requests and prior authorizations, and maintaining medical records in compliance with confidentiality standards. Ivy Jean M. has effectively resolved member inquiries, coordinated with medical providers, and facilitated the scheduling of physician appointments and referrals to specialists, ensuring streamlined patient care and efficient healthcare benefits navigation.

Experience

  • Customer Service Representative

    Ibex Global Solutions · 2024 — 2026
    Assisted members in navigating healthcare coverage, clarifying benefits, and verifying eligibility. Processed insurance claims, appeals, and bill inquiries with precision. Supported patients by managing medication requests and prior authorization processes to facilitate prompt care. Maintained medical records in compliance with confidentiality standards. Collaborated with healthcare professionals and facilities to optimize patient care. Scheduled appointments with physicians and organized referrals to specialists. Addressed and resolved inquiries from members through effective communication and problem-solving.

Skills & Expertise

Education

  • Bachelor of Science in Mathematics, Major in Research Statistics
    Davao Oriental State University · 2020 — 2024

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