Professional in customer support with strong communication and problem-solving skills. Adept at managing inquiries, resolving issues, and ensuring customer satisfaction. Known for teamwork, adaptability, and achieving results under changing conditions. Skilled in conflict resolution, empathy, and time management.
Experienced with resolving customer inquiries effectively. Utilizes communication and empathy to build rapport and ensure satisfaction. Knowledge of troubleshooting and issue resolution.
Overview
7
7
years of professional experience
Work History
Customer Care Representative II (Healthcare Account)
Carelon Global Solutions Philippines (Legato)
Alliance Global Tower, 24th - 29th Floors 11th Ave
02.2020 - Current
An Inbound and chat campaign, receiving inquiry from a like:
How benefits are applied to their claims
Processing payment on monthly premiums
Payment Research
Help a member to look for an In-network provider and assigned primary care physician
Verifying In-network benefits an out of network benefits (Out of area benefits
Help check status of pre-auth request
Do outbound calls with the provider office if claims correction needed to submit
Verifying member eligibility to other insurance providers
Tools commonly used are Solution Central (Main tool to view all member information, navigate, put notes.), HIPAA tool, Next Gen, OnDemand, APT (payment tool), Main Frame (A MS DOS based program to view members information and update information needed)
Educated customers and agents about billing, payment processing and support policies and procedures.
Assisted call-in customers with questions and orders.
Navigated multiple computer systems and applications to find information.
Medical Coder
Lexicode Healthcare Inc.
01.2018 - 01.2020
Serve as resource and subject matter expert to other coding staff
Encoding medical records of patients
Update records with standardized information needed for data management and billing purposes
Identifying the demographics, allergies, treatment plan, diagnosis, medical history, imaging reports, laboratory and test result
Evaluating the main and final diagnosis of Doctor or the Primary Care Physician
Education
Bachelor of Science - Radiologic Technology
Central Luzon Doctor’s Hospital Educational Institution
01.2018
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Camiling Catholic School
01.2015
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President Corazon Aquino Elementary School
01.2011
Skills
Computer Literature
Good Adaptability Skills
Can clearly speak in English
Honest, Hardworking, and always dedicated to a job
Customer service
Complaint handling
Product knowledge
Disclaimer
I hereby certify that the above-mentioned information is true and correct.
PERSONAL INFORMATION
Birth Place: Quezon City
Age:26
Nationality: Filipino
Religion: Roman Catholic
Civil Status: Single
Fathers Name: Joseph M. Gatarin(+)
Mothers Name: Johanna C. Gatarin
Timeline
Customer Care Representative II (Healthcare Account)
Carelon Global Solutions Philippines (Legato)
02.2020 - Current
Medical Coder
Lexicode Healthcare Inc.
01.2018 - 01.2020
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Camiling Catholic School
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President Corazon Aquino Elementary School
Bachelor of Science - Radiologic Technology
Central Luzon Doctor’s Hospital Educational Institution