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Mardiory O. — Mid-Level Healthcare Customer Service Specialist from Philippines

Mardiory O.

Mid-Level Healthcare Customer Service Specialist

Philippines Less than 1 year
Open to offersNew to Platform
Languages
English
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About

Mardiory H. is an experienced Customer Service Advocate and Risk and Compliance Officer based in Pasay City, Philippines, with a decade of experience supporting clients in the healthcare and telecommunications industries. At Concentrix, Mardiory handled provider and member inquiries, guided providers through insurance billing procedures, processed claims, and delivered compliance training, demonstrating proficiency with medical billing codes (CPT, ICD-10, HCPCS) and HIPAA guidelines. Additionally, Mardiory developed policies for compliance, conducted audits, implemented corrective actions as a compliance officer, and managed confidential patient data for a Texas vein clinic. Mardiory also resolved customer issues and conducted quality assurance in telecommunications roles at Sutherland and Startek, consistently ensuring regulatory compliance and data accuracy. Proficient in tools such as Salesforce, Citrix, eCW, and Microsoft Excel, Mardiory’s scope has included supervisory functions, auditing, and regulatory policy management.

Experience

  • Risk and Compliance Officer

    Concentrix Healthcare · 2025 — 2025
    Developed and updated policies and procedures, including FMEA, to maintain regulatory compliance. Identified, assessed, and mitigated organizational risks while conducting audits to ensure alignment with legal and internal standards. Provided compliance training to staff and prepared reports for management and external agencies.
  • Subject Matter Expert (Healthcare)

    Concentrix · 2023 — 2025
    Assisted with eligibility, benefits, and claims, while developing performance improvement strategies by analyzing phone calls. Shared best practices and clarified policy changes to ensure correct implementation in client interactions. Conducted refresher training and discussed policy updates with the team.
  • Healthcare Customer Service Advocate

    Concentrix · 2021 — 2023
    Delivered customer service support to healthcare providers and members, addressing inquiries related to insurance, billing, and coverage. Verified patient eligibility and benefits, processed claims in adherence to insurance policies, and navigated regulatory guidelines to resolve billing issues.
  • Customer Resolution Expert

    Sutherland · 2018 — 2021
    Resolved customer inquiries and technical issues promptly while enhancing the customer experience. Educated customers about self-service tools and managed accounts, including activations and payments. Provided guidance to service advocates on complex customer concerns and facilitated training on product updates.
  • Business Care Offline Representative

    Startek · 2016 — 2018
    Responded to customer inquiries via email about billing, services, plans, and technical issues. Troubleshot problems related to connectivity and provided detailed information on plans and pricing while escalating complex concerns to appropriate support teams.
  • Data Entry

    Vein Clinic in Texas
    Entered and maintained patient and medical data within healthcare systems, ensuring confidentiality and adherence to regulatory compliance. Verified records, organized documentation, and assisted healthcare staff with efficient data management.

Skills & Expertise

Education

  • Bachelor of Secondary Education Major in Mathematics
    Visayas State University- Isabel · 2014 — 2015

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