ROSELIN MAE C. NOE
Customer Service Representative
Imus City
Summary
Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.
Overview
9
9
years of professional experience
2014
2014
years of post-secondary education
2
2
Certifications
Work History
Senior Client Partner
Access Healthcare
02.2021 - 06.2023
- Handled preauthorization requests for a range of medical services and prescriptions via outbound calls, portal systems, and fax transmissions.
- Checked patient's eligibility, benefits and coverage.
- Handled follow-ups for submitted preauthorization through outbound calls and portal systems.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Developed and maintained productive working relationships with healthcare providers.
- Fostered positive relationships with healthcare providers by ensuring transparent communication throughout authorization process.
Customer Sales Representative
TaskUs
02.2019 - 06.2019
- Demonstrated and marketed services effectively to current and potential clients.
- Performed cost-benefit and analysis of existing/potential customers to meet their needs.
- Emphasized product specifications to meet customer needs.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Described product highlights and benefits to help guide purchasing decisions.
Customer Service Representative
Humana
03.2014 - 01.2015
- Handled inbound calls attending customer queries.
- Handled inbound queries from dental providers about member eligibility, benefits, coverage details and specific procedure claims.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Education
Bachelor of Science - Nursing
Emilio Aguinaldo College
Skills
- Patient Care and Management
- Strong Work Ethic
- Time Management
- Attention to Detail
- Effective Communication
- Critical Thinking
- EHR/ERM
- HIPAA Knowledge
- Microsoft 365
- Volp Tools
Customer service
Call management
Adaptability and flexibility
Time management
Customer relations
Team collaboration
Microsoft Excel
Computer proficiency
Microsoft outlook
Microsoft Office Suite
Documentation
Certification
World of Medicare Training
References
Vincenzo Angelo
enzoangelopt@gmail.com
Franklin Valencia
09165267128
Timeline
Senior Client Partner
Access Healthcare
02.2021 - 06.2023
Customer Sales Representative
TaskUs
02.2019 - 06.2019
Customer Service Representative
Humana
03.2014 - 01.2015
Bachelor of Science - Nursing
Emilio Aguinaldo College
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