Customer Service Representative
Resume:
Barry Gail
Coloma Paloma
Contact
******************@*****.***
Work Experience
PATIENT CARE COORDINATOR
Allsectech Manila Inc.
July 13, 2023 - May 3, 2024
Assisted Patients in scheduling appointments
for medical check-ups.
Created patients cases, handled pharmacy
refills, and followed up on patients needs.
Provided answering services to US healthcare
facilities, including taking down orders from
doctors .
Relayed lab results, consultations and
important patients information.
References
Duane Stinson
Ricardo Atengco
CEO
Registered Nurse ( USRN )
Sinbad's Restaurant
Zuckerberg San Francisco General
Hospital and Medical Center
925-285-600
MEDICARE LINES ANALYST
Cognizant Philippines
May 3, 2023 - July 16, 2023
Maintained all claims decisions.
Coordinated direct customer or attorney
contacts.
Completed all necessary reserve changes.
Issued payment to Medicare contractor
exceeding $10,000.
Managed lines for Medical D Pharmacy,
Medicare Advantage Plans, and other groups
health claims.
HEALTH CARE ADVOCATE
Optum Philippines
July 18, 2018 - February 16, 2022
Focused on members medical claims,
pharmacy claims, and benefits.
Handled the durable medical equipment return
and exchange process.
Sent information of benefits to United
Healthcare members.
ORDER SUPPORT
Afni Philippines
April 27, 2015 - June 2, 2017
Managed billing, order status and follow ups
for Sprint mobile devices.
CUSTOMER SERVICE REPRESENTATIVE
Accenture
December 6, 2012 - April 17, 2015
Handled billing for Telco and number porting for
Virgin Mobile UK.
CUSTOMER SERVICE REPRESENTATIVE
Alorica
May 24, 2008 - June 18, 2008
Managed billing, plan subscription and technical
support for Sirius XM radio service activation.
CREDIT CARD BILLING
Foundever
July 14, 2008 - September 17, 2009
Assisted with billing inquiries, billing disputes, balance transfers, and payment processing for
Capital One credit cards.
Objective
BACHELOR OF SCIENCE IN NURSING
Our Lady of Fatima University
2006
Education History
Certifications
General Virtual Assistant
VA Training Program, VA Training
Philippines
HIPAA Certified
Trained for Medicare part C and D.
Trained for pharmacy-regulated drug
explainations and distribution limits from
US pharmacy practice.
Skills
Patient-Care Coordination
Claims Management
Medical Billing & Coding
Customer Service
Medicare Regulations ( Part C & D )
Durable Medical Equipment Handling
Pharmacy Claims Processing
Virtual Assistant
Seeking a challenging experience where I can
apply my skills and experience in a new role.
To leverage my skills and experience in this
industry and achieve results on a cross-
functional team.
Contact this candidate