A professional Nurse with a vast experience in Medical Insurance and customer support. Handling inbound and outbound calls for US based accounts doing pre certification for medical and behavioral health.
Overview
9
9
years of professional experience
Work History
Candidate Support Specialist
Vivian Health
02.2022 - Current
Mentored junior team members in mastering complex technical concepts, bolstering the overall capabilities of the support unit.
Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
Improved customer satisfaction by addressing and resolving technical issues swiftly and efficiently.
Managed high-priority tickets with professionalism, ensuring timely resolutions while maintaining excellent rapport with clients.
Assistant Manager
EXL SERVICES
01.2020 - 07.2021
Company Overview: Philippine Office : EXL Service Philippines
Handle both inbound and outbound calls to all parts of the US
Improved company call handling time
Conduct Team meetings and ensure the quality of calls being given by team members
Provide members list of doctors and hospitals within their community
Connect members to mental health counselors for in the moment support
Give resources to members( legal, financial, child and adult care and etc.)
Provide pre-certification for their provider's visit, procedures, and admissions
Create cases and forward it to clinical team for review
Philippine Office : EXL Service Philippines
Inbound Queue Associate
EXL SERVICES
01.2016 - 12.2019
Company Overview: Philippine Office : EXL Service Philippines
Provide high-quality patient care
Assist with the continuous development of staff
Identify hazards in the workplace and provide solutions
Treat emergency injuries
Develop programs to maintain health and safety
Identify work-related risks
Document all injuries and illnesses
Philippine Office : EXL Service Philippines
STAFF NURSE
Corazon Locsin Montelibano Memorial Regional Hospital
06.2018 - 01.2019
Collaborated with interdisciplinary team members for comprehensive patient assessments and treatment plans.
Assisted physicians with diagnostic procedures, ensuring accurate results for optimal treatment planning.
Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Education
Bachelor of Science - Nursing
Post Graduate Studies -
Northern Sydney Institute
12.2012
Certificate III - Health Services Assistance (Nursing Work in Acute Care)
Riverside College
03.2006
Skills
Cold and Warm Calling
Chat Support
Multi Tasking
Call Handling
Team Meetings
Quality Assurance
Pre-certification
Case Creation
Patient Care
Staff Development
Remote Support
Support Services
Customer Relationship Management
Timeline
Candidate Support Specialist
Vivian Health
02.2022 - Current
Assistant Manager
EXL SERVICES
01.2020 - 07.2021
STAFF NURSE
Corazon Locsin Montelibano Memorial Regional Hospital
06.2018 - 01.2019
Inbound Queue Associate
EXL SERVICES
01.2016 - 12.2019
Post Graduate Studies -
Northern Sydney Institute
Certificate III - Health Services Assistance (Nursing Work in Acute Care)
Riverside College
Bachelor of Science - Nursing
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