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Customer Representative Virtual Assistant

Location:
Los Angeles, CA
Salary:
$1500/mo
Posted:
October 24, 2022

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Resume:

SANDY L. ROSAS

*** ***. * *** ****** Baltazar St. Grace Park Caloocan City

Mobile Number: +639*********

e-mail address: ads57p@r.postjobfree.com

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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