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Jenefer E. — Mid-Level Healthcare Provider Advocate from Philippines

Jenefer E.

Mid-Level Healthcare Provider Advocate

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

Jenefer J. is a dedicated healthcare provider advocate based in Imus, Cavite, Philippines, with a robust background in guiding healthcare providers through the complexities of health insurance. She excels in understanding and resolving provider-related concerns involving benefits, claims, and authorizations with clarity and empathy. Her professional expertise was honed through her role at UHC, where she managed a high volume of inquiries across multiple channels, including phone, email, and chat. Jenefer possesses strong skills in customer support & issue resolution, leveraging CRM/ticketing systems for accurate documentation and safeguarding confidential health information while adhering to HIPAA standards. Her educational foundation as a BS in Nursing from Davao Doctors College compliments her professional capabilities, ensuring meticulous attention to detail and timely service delivery. Previously, Jenefer also served as a caregiver in Malaysia, where she managed daily medication and ensured a healthy diet for her employer, further demonstrating her commitment to compassionate care.

Experience

  • Healthcare Provider Advocate

    UHC · 2019 — 2026
    Assisted healthcare providers and members by clarifying insurance benefits, eligibility, and claims, while addressing network-related inquiries. Researched issues and communicated next steps, coordinating with internal teams to resolve service complexities. Ensured accurate documentation of interactions in a CRM system, maintaining privacy standards. Handled a high volume of calls and follow-ups, consistently meeting expectations for quality and response time. Delivered attentive support, creating a positive experience from initial contact through to resolution. Kept precise records and efficiently processed requests.
  • Caregiver/DH

    Malaysia · 2013 — 2015
    Oversaw daily medication for the employer and ensured a healthy diet during meal times. Assisted with daily physical activities while providing care and empathetic support.

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