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Rose A. — Mid-Level Healthcare Customer Service Specialist from Philippines

Rose A.

Mid-Level Healthcare Customer Service Specialist

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

Rose Ann N. is a dedicated customer service professional with nearly four years of experience in the healthcare and urgent care industries. She specializes in insurance claims management and patient billing, effectively assisting members with inquiries, processing authorizations, and ensuring compliance with healthcare regulations across various communication channels. Her role at Teleperformance involved supporting members of healthcare accounts by managing insurance coverage inquiries and processing prior authorizations. In her tenure at Omega Healthcare, she excelled in patient billing, addressing discrepancies in payments and processing refund requests within policy frameworks. Her adeptness at stakeholder coordination and efficient communication has consistently contributed to enhanced patient experiences and satisfaction. Rose Ann holds a Bachelor of Arts in Behavioral Sciences from the University of Caloocan City, complementing her expertise in managing patient and provider relations. Through a foundation in robust communication and a commitment to accurate problem-solving, she has maintained positive relationships with diverse stakeholders in the healthcare sector.

Experience

  • Healthcare Executive I

    Omega Healthcare · 2025 — 2026
    Addressed patient billing questions by clarifying charges and resolving discrepancies in payments to support patient satisfaction. Guided patients through payment options and provided explanations of insurance claim denials. Processed refund requests and corrected billing issues, ensuring compliance with policies while managing communication with employers and other stakeholders.
  • Customer Support Advocate

    Teleperformance · 2023 — 2023
    Responded to member inquiries related to insurance coverage, claims, and benefits while managing high call volumes. Documented interactions accurately to ensure compliance with healthcare regulations and collaborated with team leads to enhance call resolution efficiency. Assisted providers in verifying member eligibility and details, explained reasons for claims denials, and processed requests for prior authorizations.

Skills & Expertise

Education

  • Bachelor of Arts in Behavioral Sciences
    University of Caloocan City · 2019 — 2023
  • Senior High School
    Bestlink College of the Philippines · 2017 — 2019
  • Junior High School
    Tala High School · 2014 — 2017

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