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Rona R. — Mid-Level Healthcare Customer Support Representative from Philippines

Rona R.

Mid-Level Healthcare Customer Support Representative

Philippines 3-6 years
Open to offersNew to Platform
Languages
English
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About

Rona R. is an accomplished Customer Support Representative with substantial experience in the Medicare Part D prescription drug insurance sector. Proficient in managing eligibility verification, coverage clarification, and comprehensive account updates, Rona excels in ensuring accurate records and offering clear guidance to members about their benefits. She is equipped with a robust academic foundation, holding a Bachelor of Science in Information Technology from Informatics International College, where she gained expertise in record handling and systems like EHRs. Her career with Aetna-Silverscript Insurance as a Member Services Representative involved managing over 50 daily inbound and outbound calls, rigorous HIPAA compliance, and timely follow-ups on claim issues. She has also served as a Customer Service Specialist VA on Upwork, maintaining error-free client records with strong problem-solving abilities. Rona's proficiency includes insurance verification and familiarity with medical billing, as certified by Premier Medical Billing Academy. Her previous roles at Telus International and Alorica Teleservices underscore her adeptness in multitasking and documentation in fast-paced environments.

Experience

  • Customer Service Specialist VA

    Upwork Freelancer · 2024 — 2025
    Provided assistance to clients regarding inquiries, appointments, and service information, maintaining professionalism and empathy. Managed client records efficiently, ensuring information accuracy in internal systems. Addressed and resolved customer concerns with effective communication and problem-solving skills.
  • Member Services Representative

    Aetna-Silverscript Insurance · 2020 — 2024
    Verified coverage, benefits, and insurance eligibility to support healthcare service processing. Kept detailed records of patient interactions and account updates while adhering to HIPAA regulations. Helped patients comprehend coverage details such as copays and deductibles. Investigated claims issues related to eligibility and billing to ensure proper follow-up. Guided patients through prior authorization requirements and appointment scheduling. Managed a high volume of inbound and outbound calls while maintaining professionalism and accuracy.
  • Email Support Specialist

    Telus International · 2019 — 2020
    Resolved customer inquiries through email, collaborating with carriers and restaurant partners to address issues promptly. Investigated discrepancies related to deliveries and orders, contributing to improved customer satisfaction. Documented cases to facilitate effective follow-ups and service enhancements.
  • Phone Support Specialist

    Alorica Teleservices · 2017 — 2019
    Managed a high volume of customer interactions, delivering clear and professional communication. Identified root causes of customer issues and provided solutions in line with company guidelines. Documented interactions accurately in internal systems to ensure proper tracking and follow-up. Adapted to a fast-paced environment while meeting performance and quality standards.

Skills & Expertise

Education

  • Bachelor of Science in Information Technology
    Informatics International College · — — 2017