Kimberly Jumawan
Block 6 Lot 1 Northfield Residences Canduman Mandaue City, Cebu,Philippines
Summary
Detail-oriented professional with experience as a Technical Support Specialist, Provider Service Advocate, and Virtual Medical Assistant. Skilled in remote technical troubleshooting, healthcare provider support, and patient coordination, with a strong understanding of HIPAA compliance and EHR systems. Seeking a remote or hybrid role where technical expertise, healthcare knowledge, and strong communication skills can be used to support providers and improve patient care.
Overview
6
6
years of professional experience
Work History
Virtual Medical Assistant
Global Medical Virtual Assistant
Manila, Philippines
03.2024 - Current
- Delivered virtual administrative and clinical support to healthcare providers, enhancing workflow in a fast-paced environment.
- Facilitated coordination for several healthcare providers to enhance workflow efficiency.
- Achieved high accuracy while managing multiple tasks in a remote work setting, contributing to seamless operations.
- Updated, reviewed, and maintained accurate patient records in EHR/EMR systems in compliance with HIPAA guidelines.
- Assisted with insurance verification, eligibility checks, and prior authorisations.
- Prepared and reviewed medical documentation, referrals, and follow-up instructions.
- Communicated with providers while ensuring confidentiality and professionalism.
- Facilitated inbound and outbound communications with providers, ensuring professionalism, empathy, and confidentiality.
Provider Service Advocate
Optum Global Solutions
Cebu City, Philippines
02.2022 - 02.2024
- Resolved provider issues on the first call by navigating complex computer systems to identify issue status and deliver appropriate responses.
- Answer incoming phone calls from health care providers (i.e. health professionals, specialists, and hospitals). health professionals, specialists, and hospitals). health professionals, specialists, and hospitals. health professionals, specialists, and hospitals). physician offices, clinics, and identify the type of assistance the provider needs (i.e.) benefit and eligibility, billing and claims, authorisations for treatment, explanation of benefits, and appeals.
- Deliver information and answer questions in a positive manner to facilitate strong relationships with providers, their staff, and other stakeholders.
- Collaborated with internal departments to resolve complex provider issues efficiently.
- Documented provider issues to track resolution progress and support the reporting of overall trends.
- Drafted legal documents, including contracts and wills, with meticulous attention to detail.
- Interpreted insurance policies and explained coverage details accurately and professionally.
- Trained new hires on their roles as Provider Service Advocates.
Technical Support Specialist
Concentrix
Cebu City, Philippines
07.2020 - 02.2022
- Responded to support requests from end-users, guiding individuals through troubleshooting tasks for network, connectivity, and other issues to enhance user experience.
- Assisted customers in identifying issues and explained solutions to restore service and functionality.
- Troubleshoot email services and third-party email clients such as Outlook, Gmail, Yahoo, and others.
- Ensured functionality of streaming apps, printers, and desktops through basic troubleshooting support.
- Collaborated with supervisors to escalate and address customer enquiries and technical issues.
- Escalated tickets to the dispatch team for sooner technician appointments or emergencies.
- Documented issues and resolutions in ticketing systems to ensure continuity and compliance, supporting effective knowledge sharing within the team.
- Provided answers to billing inquiries and submitted necessary billing adjustments.
Education
Bachelor of Science - Bachelor of Science in Tourism Management
University of San Carlos
Nasipit Talamban Cebu City2020
High School Diploma
Saint Louis College - Cebu
134 M.D, Echavez St. Sudlon Maguikay, Mandaue City2014
No Degree
Mandaue City Central School
Catalino Ll. Ouano St., Centro Mandaue City2010
Skills
- Mentorship, adaptability in remote work
- Benefits Administration
- Technical Troubleshooting
- Remote Support (Phone, Chat, Email)
- HIPAA compliance
- Data Entry & System Navigation
- Provider Relations and Support
- Insurance Verification and Eligibility
- Claims, Prior Authorisations, and Benefits Assistance
- Call handling (inbound, outbound)
- Empathy and active listening
- Time management
- Multitasking in fast-paced environments
- Problem-solving
Languages
English
Intermediate
B1
Korean
Beginner
A1
Chinese (Mandarin)
Beginner
A1
Spanish
Beginner
A1
French
Beginner
A1
Interests
- Reading-healthcare, technology, or personal growth
- Personal development & professional skill-building
- Organization and workflow optimization
- Continuous learning through online courses
Timeline
Virtual Medical Assistant
Global Medical Virtual Assistant
03.2024 - Current
Provider Service Advocate
Optum Global Solutions
02.2022 - 02.2024
Technical Support Specialist
Concentrix
07.2020 - 02.2022
Bachelor of Science - Bachelor of Science in Tourism Management
University of San Carlos
High School Diploma
Saint Louis College - Cebu
No Degree
Mandaue City Central School