John L.
Junior Healthcare Customer Service Representative
Actively lookingNew to PlatformAbout
John Lloyd V. is a proficient Customer Service professional based in Binan City, Laguna, Philippines, with over two years of experience in U.S. healthcare support. He has honed his expertise in areas such as insurance coverage, eligibility, billing, claims, benefits, prescriptions, and prior authorizations, alongside adept management of medical and pharmaceutical claims. His career at TTEC Philippines involved clear communication with members to verify insurance and eligibility, handling billing inquiries, and supporting prescription management, always ensuring HIPAA-compliant data handling. Furthermore, John excelled as an Escalation Specialist, efficiently navigating complex member concerns and coordinating resolutions with internal teams. His proficiency extends to using tools like Prime Clinical EHR, Salesforce CRM, and other healthcare management systems, underscoring his adaptability and detail-oriented approach to enhancing patient care and customer satisfaction.
Why hire me
You should hire me because I have over two years of experience supporting US healthcare members in a fast-paced environment where I handled complex concerns and developed strong communication, problem-solving, and organizational skills. I understand that a CSR needs to be reliable, adaptable and willing to learn and I've consistently demonstrated those qualities throughout my experience. I also understand the responsibilities of a Medical Virtual Assistant require reliability and a quick learning mindset. What I may lack in freelancing experience I make up for with real healthcare industry experience and a genuine commitment to helping your practice run smoothly. I believe my experience, attitude, and commitment to providing quality support would allow me to be a valuable part of your team.
Experience
Customer Service Representative
TTEC Philippines · 2023 — 2026Provided assistance to members regarding insurance verification, eligibility, benefits, claims, billing, prescriptions, and preauthorization inquiries while maintaining accurate member account information in the healthcare management system. Coordinated with healthcare providers to resolve claims discrepancies and facilitated prescription refills. Conducted appointment scheduling support as needed and maintained HIPAA-compliant confidentiality with sensitive information. Handled outbound calls to follow up on member requests and addressed complex concerns, escalating issues when required.Escalation Specialist (Project-based)
TTEC Philippines · 2025 — 2026Managed escalated issues related to insurance eligibility, claims, benefits, billing, prescriptions, and technical support. Collaborated with internal departments to identify and implement solutions for sensitive or high-priority member concerns. Offered guidance on healthcare processes and contributed to training Customer Service Representatives in resolving member inquiries accurately.Production Operator
Maxeon Sunpower Philippines · 2021 — 2023Monitored and operated machinery for the manufacturing of solar cells, ensuring optimal performance and minimizing downtime during production processes.Customer Service Rep (Project-based)
Concentrix Philippines · 2020 — 2020Assisted customers with online order inquiries, including tracking, returns, and replacements while resolving complaints related to delivery, damage, and billing issues in accordance with service standards.
Skills & Expertise
Education
- Computer Programming - Senior High SchoolBinan City Senior High School – San Antonio Campus · 2017 — 2019
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