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EuMariDanelle

Customer Service Representative

Contato

Quezon City, National Capital Region, Philippines
Disponível na CazVid
Contato pela CazVid

Competências

Claims ProcessingAdvanced

Handled submitting, tagging, denying, and finalizing insurance claims across multiple roles.

Customer Service & CommunicationAdvanced

Provided effective communication with patients and customers via email and direct support.

Billing & Benefits ManagementIntermediate

Managed payments, billing, and benefit verification within healthcare services.

Technical Skills (CRM, Microsoft Office)Intermediate

Utilized CRM systems, Microsoft Excel, and Word for data management and correspondence.

Order & Refund ProcessingIntermediate

Processed refunds, credits, and live/non-live order statuses via email support systems.

Formação acadêmica

Nutrition and Dietetics
Our Lady of Fatima University
Completed 2015
BSE
Divine Mercy College Foundation Inc.
Completed 2019

Idiomas

FilipinoFluent
EnglishFluent

Resumo

Dedicated specialist with extensive experience in claims processing, customer support, and healthcare benefits management.

Principais conquistas

  • Processed and finalized member and professional claims at Carelon Global Solutions.
  • Handled patient enrollment and billing, ensuring accurate healthcare benefit management at Alorica.
  • Managed email communications and order processing for customer support at Concentrix.

Experiência

Financial Operations Specialist I

Carelon Global Solutions
September 27, 2022 - March 22, 2023

Processing and finalization of submitted member claims, professional and facility claims., Benefit tagging, claims denial, denials of timely filed claims.

Customer Service Representative

Alorica
January 15, 2020 - July 20, 2021

Handles patients enrollment, billings and other medical necessities on their account., Settling the payment on their claims, checking status and coverage of their healthcare benefits.

Email Support Representative

Concentrix
July 21, 2021 - November 26, 2021

Sending emails to the customer, checking status for their live and non-live orders., Processing of their refunds or credits.

Habilidades

Claims ProcessingCustomer Service & CommunicationBilling & Benefits ManagementTechnical Skills (CRM, Microsoft Office)Order & Refund Processing
Publicado na CazVid - 17 de mai. de 2026
Contato EuMariDanelle