HAZEL BAYON
Cebu City, Province Of Cebu,CEB
Summary
Dedicated Healthcare Customer service Bilingual (Spanish-English) with over 5 years and 9 months of experience in healthcare support and 1 year of sales experience in the BPO industry. Skilled in patient communication, insurance support, denied claims processing, prior authorization, eligibility verification, and appeals handling. Proven ability to resolve complex customer concerns while maintaining excellent service quality in fast-paced environments.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
7
7
years of professional experience
Work History
Healthcare Customer Service Bilingual
Omega Healthcare Inc.
Cebu City, Province Of Cebu, Philippines
07.2020 - 04.2026
- Provide bilingual (Spanish-English) patient support for U.S. based healthcare clients.
- Handle physician professional fee billing for providers affiliated with major U.S hospital system, separate from hospital facility billing, including clients such as Boston Medical Hospital, NYC Health+Hospital ( Faculty Practice Group Elmhurst) and clinics under AdvantageCare Physicians.
- Handle 40-65 inbound and outbound calls daily while maintaining quality and accuracy.
- Assist patients with insurance inquiries, billing concerns, and healthcare-related questions.
- Assist patients with denied claims and coordinate cases with the coding team for coding review and resolution.
- Perform eligibility verification and assist with prior authorization requests.
- Support patients with appeals processing and follow-ups on denied or pending claims.
- Utilize healthcare systems including Epic and PuTTY to review patient accounts and document interactions.
- Maintain accurate documentation using CRM systems.
- Ensure compliance with healthcare guidelines and company policies.
Sales Representative
Fusion BPO
01.2019 - 01.2020
- Assisted customers with product inquiries and service-related concerns.
- Achieved sales goals through effective communication and upselling strategies.
- Maintained strong customer relationships through excellent service.
- Documented customer interactions accurately using CRM tools.
Education
English
Western Mindanao State University
Zamboanga City, Province Of Zamboanga Del Sur, PhilippinesNational Certificate II - Caregiver
Brent Hospital And Colleges Inc. Caregiver/Healthcare Provid
Zamboanga City, Province Of Zamboanga Del Sur, PhilippinesSkills
- Spanish-English Bilingual Communication
- Healthcare Customer Support
- Patient & Insurance Assistance
- Prior Authorization & Eligibility Verification
- Appeals Processing
- Customer Service Excellence
- CRM Tools & Documentation
- Conflict Resolution
- Multitasking & Time Management
- Interpersonal skills
- Customer-oriented
- Customer relations
- Problem resolution
- Motivation
- Team player
Additional Information
Available upon request.
LANGUAGES
English — Fluent
Spanish — Bilingual Proficiency
Timeline
Healthcare Customer Service Bilingual
Omega Healthcare Inc.
07.2020 - 04.2026
Sales Representative
Fusion BPO
01.2019 - 01.2020
English
Western Mindanao State University
National Certificate II - Caregiver
Brent Hospital And Colleges Inc. Caregiver/Healthcare Provid