Customer Representative Virtual Assistant
Resume:
SANDY L. ROSAS
*** ***. * *** ****** Baltazar St. Grace Park Caloocan City
Mobile Number: +639*********
e-mail address: ***************@*****.***
OBJECTIVE:
Looking at new opportunities to strengthen my strong background in efficiently managing multiple priorities and successfully meeting customer demands as well as administrative and communication skills.
EDUCATIONAL ATTAINMENT:
Tertiary: Polytechnic University of the Philippined
Sta. Mesa, Manila
Secondary: Caloocan High School
Caloocan City
Primary: Grace Park Elementary School
Caloocan City
WORKING EXPERIENCES:
Freelancer/ Healthcare Virtual Assistant April 2022 – September 2022
Client AR/ Billing Associate
● In charge with copay charges for client’s appointments everyday
● Sending out balance sheet through email and SMS
● Doing outbound calls to remind clients about their balances
● Get credit card information
● Checking claims if processed correctly
NTT DATA PHILIPPINES October 2020 to April 2022
Bluecross Blushield Provider Services
Customer Care Associate:
● Answered phone calls and checked to see if the outcome was negative or positive
● Giving and checking patient’s Eligibility
● Giving and checking patient’s Medical Benefits information such as copay, coinsurance, deductible and if a code is covered or not.
● Giving and checking if a CPT code requires Pre Authorization.
● Giving and checking status of Pre-Authorization
● Checking Claims Status, explaining how it is processed, giving reason code why claim got denied or what information needed for the claim to be processed.
● Send claim back for reprocessing if all detailed information is on hand.
EXL Philippines July 2018 – August 2020
Zurich Medical Provider Helpline
Checking Claims Status – Medical Bills, explaining how it is processed, giving reason code why claim got denied or what information needed for the claim to be processed.
Send claim back for reprocessing if all detailed information is on hand.
Worker’s Compensation details
Convergys Philippines January 2014 – July 2018
Senior Customer Service Specialist
Cigna Dental Provider Services and Customer Service Representative
Giving and checking patient’s Eligibility
Giving and checking patient’s Dental Benefits information such as copay, coinsurance, deductible, maximums and if a code is covered or not.
Giving and checking if a CPT code requires Pre - Authorization.
Checking if Pre - Authorization is processed or denied.
Checking Claims Status, explaining how it is processed, giving reason code why claim got denied or what information needed for the claim to be processed.
Send claim back for reprocessing if all detailed information is on hand.
Finding nearest in network dental office for patient, calling provider for patient’s appointment.
Department of Health March 2011 – December 2013
Material Management Division
Position: Administrative Officer II (Contractual)
Job Description: All administrative clerical works such as making communication letters, vouchers, trip tickets and overriding time cards thru intranet. Facilitating meetings, venues and other stuff that the office needs.
KNK Live Online Communications May 2009 – February 2011
Position: ESL instructor / Online Teacher
Job Description: Develop English skills of Korean students, preferably with grammar skills and pronunciation skills. Build their confidence when speaking in English. Focus on widening their vocabulary skills and intonation skills as well as making them familiar with different expressions that they may use when interacting with foreigners and native American speakers. Proper handling of students ranging from 7 to 50 years old and giving them the right lessons and books that are really appropriate to them. Interviewing or conducting oral exams to students who are applying to have phone English lesson..
PERSONAL INFORMATION:
Date of Birth: July 26, 1988
Birthplace: Manila
Status: Single
CHARACTER REFERENCES:
To be furnished upon request.
I hereby certify that all information summarized above is true and correct.
SANDY L. ROSAS
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