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Johnrick G. — Senior Healthcare Customer Service Specialist from Philippines

Johnrick G.

Senior Healthcare Customer Service Specialist

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

Johnrick G. is a Senior Healthcare Specialist with over 11 years of call center experience, focusing on healthcare support for members, providers, and patients. With a strong expertise in Utilization Management, eligibility and benefits verification, and claims and billing resolution, he has been instrumental in enhancing healthcare operations. He has over 6 years of experience in healthcare customer service, demonstrating proficiency in scheduling appointments, coordinating with healthcare providers, and managing patient communications. Johnrick excels in navigating complex healthcare systems while ensuring compliance with policies and regulations. His tenure includes roles such as Senior Executive Specialist at EXL Service, where he distinguished himself by handling prior authorization processes and verifying health insurance coverage. He is known for his superior patient care coordination skills and his ability to deliver excellent customer service across multiple healthcare platforms while managing confidential information securely. Additionally, Johnrick is adept in Microsoft Office Suite and demonstrates exceptional ability in meeting performance metrics.

Experience

  • Virtual Care Specialist (VA)

    Civicom Pacific Corp. · 2025 — 2026
    Assisted inbound callers and walk-in patients with account creation and profile updates. Supported patients in accurately completing new patient paperwork. Managed the scheduling, rescheduling, and confirmation of patient appointments. Coordinated with healthcare providers to communicate schedules and updates. Verified health insurance eligibility, benefits, and coverage for medical services. Collected patient financial responsibilities during Kiosk check-ins. Maintained patient records and performed administrative tasks in alignment with company policies and regulations. Addressed patient inquiries and resolved concerns with professionalism.
  • Senior Executive Specialist - Healthcare

    EXL Service · 2020 — 2025
    Handled the end-to-end process of Prior Authorization and assisted patients with admissions paperwork. Entered patient information into the database and created authorization requests. Verified insurance coverage related to medical procedures and performed standard clerical tasks.
  • Hotel Reservation Representative

    IGT Solutions · 2019 — 2020
    Provided support to customers regarding inquiries, concerns, and complaints related to reservations. Assisted in booking reservations and coordinated with hotels to modify customer requests.
  • Technical Support Associate

    The Results · 2018 — 2019
    Assisted in troubleshooting hardware and software issues, contributing significantly to team performance.
  • Customer Service Representative

    ALORICA · 2017 — 2018
    Responded to customer queries and effectively resolved complaints. Assessed customer needs while providing assistance.
  • Technical Support Associate

    Convergys/Concentrix · 2015 — 2017
    Conducted research and identified solutions for software and hardware issues. Replaced parts as required and followed diagrams and instructions for repairs.

Skills & Expertise

Education

  • Information and Communication Technology
    Polytechnic University of the Philippines · 2012 — 2015
  • High School Diploma
    East Negros Academy · 2006 — 2010
  • Elementary School
    Ma-aswa Elementary School · 2000 — 2006

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