JOHN MARK JOSE
Santa Maria, Province Of Bulacan
Summary
I am an experienced customer support for over 3 years in the BPO industry handling various roles which helped me hone my skills- organizational and analytical. I am keen to details and always open to new challenges. Seeking a position that requires excellent computer skills that would require a variety of tasks, including office management, word processing, spreadsheet, programming and database program use. But also open for a different kind of field and eager to learn more.
Overview
10
10
years of professional experience
Work History
Prior Authorization Specialist
Direct US Client
12.2024 - 12.2025
- Evaluated prior authorization requests to ensure compliance with policy guidelines and medical necessity.
- Collaborated with healthcare providers to obtain necessary documentation for timely approvals.
- Facilitated communication between patients, providers, and insurance companies to streamline authorization processes.
- Analyzed claims data to identify trends and areas for process improvement within the authorization workflow.
Credit Analyst
Radius Global Solutions
09.2024 - 11.2024
- Analyzed credit reports to assess risk and determine loan eligibility.
- Developed financial models to evaluate creditworthiness of clients.
- Collaborated with cross-functional teams to enhance underwriting processes.
- Monitored portfolio performance and identified potential default risks.
Email Support & Management
TaskUs PH
07.2022 - 08.2023
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Customer Service Rep
Alorica PH
01.2018 - 07.2022
- Address customer inquiries, concerns, and complaints via various channels such as phone, email, chat in a timely and professional manner.
- Listen actively to understand customers' needs and effectively communicate resolutions.
- Process orders, returns, refunds, and exchanges according to company policies and procedures.
Fraud Prevention Specialist
Sitel PH
02.2016 - 06.2017
- Monitor and analyze transactions, accounts, and activities for signs of fraudulent behavior.
- Investigate suspicious activities and transactions to identify potential fraud risks.
Education
ASSOCIATE IN COMPUTER TECHNOLOGY -
STI COLLEGE
01.2013
Skills
- Data Entry
- Email management
- Organizational & Analytical Skills
- Resiliency
- CRM Tools
- MS Tools
- Medical terminology
- Prior authorization process
- Medical appeals handling
- Authorizations
- Insurance verification
- Effective communication skills
- Patient referrals
- Data entry
Training
- IT NEVER STOPS, 10/09/12, COMPUTER SOCIETY
- 17TH NATIONAL YOUTH CONVENTION (NYC), 02/08/12, STI COLLEGE
- BIGGER CHALLENGE, GREATER CHANGE, 09/20/11, COMPUTER SOCIETY
Timeline
Prior Authorization Specialist
Direct US Client
12.2024 - 12.2025
Credit Analyst
Radius Global Solutions
09.2024 - 11.2024
Email Support & Management
TaskUs PH
07.2022 - 08.2023
Customer Service Rep
Alorica PH
01.2018 - 07.2022
Fraud Prevention Specialist
Sitel PH
02.2016 - 06.2017
ASSOCIATE IN COMPUTER TECHNOLOGY -
STI COLLEGE