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Judy A. — Mid-Level Healthcare Customer Service Advocate from Philippines

Judy A.

Mid-Level Healthcare Customer Service Advocate

Philippines No experience yet
Open to offersNew to Platform
Languages
EnglishTagalog
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About

Judy Anne M. is a seasoned BPO professional with over three years of focused experience in the US healthcare industry, specializing in customer service and provider advocacy for medical, dental, and pharmacy benefit structures. In her roles at Firstsource Solutions, Supportware Philippines, and Wipro Philippines, she consistently managed high-volume inbound voice and chat inquiries, supporting both members and healthcare providers with benefit information, claims processing, and coordination between pharmacies and patients. Judy Anne upheld strict HIPAA compliance and excelled in tasks such as medical referrals, prior authorizations, and resolving complex billing discrepancies. Proficient in CRM systems (Salesforce, Zendesk) and adept at multi-platform navigation, she reliably maintained quality standards while managing sensitive data. Her experience also spans educational admissions and inventory encoding, demonstrating accuracy and integrity in data management across industries.

Experience

  • Member Service Advocate

    Firstsource Solutions Limited · 2025 — 2026
    Handled high-volume inbound calls related to US-based Dental Plans, delivering comprehensive benefit information to both members and healthcare providers. Ensured adherence to healthcare privacy regulations and internal compliance standards to maintain high Quality Assurance (QA) scores. Provided education on coverage limits, co-pays, and network provider locations.
  • Membership Service Advocate

    Supportware Philippines Inc. · 2024 — 2025
    Addressed inbound inquiries regarding Prescription Drug Plans, helping members understand medication coverage, tiering, and pharmacy network details. Efficiently navigated multi-platform systems to verify eligibility and process member requests. Coordinated between pharmacies and members to solve prescription processing challenges.
  • Provider Service Advocate

    Wipro Philippines Inc. · 2022 — 2024
    Delivered omnichannel support (voice and live chat) for healthcare providers concerning insurance eligibility and benefits. Improved administrative workflows through the management of complex medical referrals and prior authorizations. Addressed billing discrepancies and provided education to provider billing offices on claims status and adjudication.
  • Admissions Officer

    University of San Carlos (Main Campus) · 2020 — 2020
    Oversaw complete enrollment processes, ensuring the validation of academic credentials while encoding sensitive student information accurately. Assisted applicants in navigating intricate institutional requirements and provided administrative support.
  • Encoder

    Colonnade Supermarket · 2019 — 2019
    Ensured inventory accuracy by precisely encoding stock transfers from the warehouse to the sales floor. Conducted regular audits to verify that digital inventory records corresponded with physical stock levels.

Skills & Expertise

Education

  • Bachelor in Elementary Education
    Salazar Colleges of Science and Technology · 2013 — 2017

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