0 viewsTalent
Mark J. from Philippines

Mark J.

Philippines 2-3 years 1200 - 2000 USD per month
Open to offersNew to Platform
Languages
English
Contact information and social networks are private. Connect to unlock.
Hidden

About

Mark Jay A. S. is a seasoned healthcare BPO specialist operating out of Calamba, Laguna, Philippines, bringing over two years of expertise to medical claims processing, billing, and account maintenance for U.S.-based healthcare clients. With a degree in Secondary Education, majoring in Social Studies from Bicol University, he graduated cum laude, evidencing a robust academic foundation. His role as a Customer Service Representative II – Healthcare Specialist at TTEC Philippines involved meticulous processing and review of medical claims, navigating complex inquiries, and maintaining stringent compliance with HIPAA regulations. Mark's previous experience with Teleperformance Philippines saw him specialize in account maintenance and billing support, emphasizing cross-functional collaboration to enhance service delivery. His proficiency extends to adept data management and the use of the Microsoft Office Suite, ensuring accuracy and efficiency in high-volume work environments, while his teaching internship highlights a capability to educate and engage within structured environments.

Experience

  • Customer Service Representative II – Healthcare Specialist, Claims and Benefits

    TTEC Philippines · 2024 — Present
    Reviewed and processed medical claims for accuracy and adherence to policy guidelines. Provided assistance to members and providers regarding healthcare inquiries, benefits eligibility, and claim statuses. Addressed discrepancies and escalated complex cases for fair claim adjudication. Maintained knowledge of healthcare regulations and HIPAA compliance while delivering customer service in a fast-paced environment.
  • Customer Service Representative – Healthcare Specialist, Account Maintenance and Billing

    Teleperformance Philippines · 2023 — 2024
    Focused on account maintenance and billing support for a U.S. healthcare client, ensuring accurate management of customer accounts. Worked collaboratively with cross-functional teams to enhance service delivery and improve customer support processes. Followed industry regulations, maintaining professionalism in handling sensitive healthcare information while educating customers on billing processes and policy changes.
  • Teaching Intern

    Gubat National High School · 2023 — Present
    Led classroom discussions, developed lesson plans, and performed assessments. Created engaging materials to support student learning and worked with other teachers to enhance the educational experience.

Skills & Expertise

Education

  • Bachelor of Secondary Education, Major in Social Studies
    Bicol University · 2019 — 2023
  • High School Diploma
    Dinapa National High School · 2013 — 2019

Interested in this professional?

Sign in as an employer to save this profile or invite Mark J. to a job.

Sign in as an employer