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Monica — Customer Service Specialist from Philippines

Monica

Customer Service Specialist

Philippines 6+ years 5 - 20 USD per hour
Open to offersNew to Platform
Languages
EnglishTagalog
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About

Monica A. M. is a seasoned Customer Service Representative with over five years of experience in the healthcare and financial services industries. She has specialized expertise in medical billing, insurance claims processing, and patient relations. Her ability to manage high-volume inquiries and resolve complex issues is well-documented, having met and exceeded Key Performance Indicators (KPIs) like Customer Satisfaction (CSAT) and First Call Resolution (FCR) at Ubiquity Global Services, where she also served as a Subject Matter Expert (SME). Her role involved providing real-time support and guidance on intricate cases. At iQor Philippines, Monica adeptly assisted patients in understanding billing intricacies and coordinated with insurance providers to ensure claim accuracy. Her commitment to maintaining compliance with HIPAA and other regulatory standards underlines her thorough understanding of industry-specific requirements. Monica's skill set is enhanced by her proficiency with Electronic Health Records (EHR) and medical billing software, underscoring her versatility and effectiveness in customer service.

Experience

  • Customer Service Representative – Medical Billing

    iQor Philippines · 2023 — 2025
    Addressed a high volume of patient inquiries regarding medical billing, insurance claims, account balances, payment plans, and disputes. Aided patients in comprehending Explanation of Benefits (EOBs), deductibles, copayments, and claim-related information. Collaborated with insurance providers to address claim issues and facilitate precise claims processing. Kept thorough documentation of interactions and billing records while complying with HIPAA and company guidelines.
  • Customer Service Representative / Subject Matter Expert (SME)

    Ubiquity Global Services · 2020 — 2023
    Managed a high volume of inbound inquiries about financial products, account services, billing, and maintenance. Addressed complex issues, disputes, and escalations while ensuring high levels of customer satisfaction. Acted as a Subject Matter Expert (SME), offering real-time assistance to agents with challenging cases and process inquiries. Handled Tier II supervisor calls to de-escalate issues, ensuring resolutions complied with company policies. Accurately documented customer interactions and updates in CRM systems, adhering to financial regulations and security standards.

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