Current Employment Status:
Hired Full Time on Mar 27, 2026
I am a healthcare support specialist at a Hawaii based insurance agency working directly with licensed brokers and helping U.S. members with insurance inquiries, enrollment, and retention while managing CRM updates, appointment tracking, lead handling, and transcription. Previously supported Medicare members at Optum Global Solutions – United Healthcare as CSR, providing coverage guidance, provider referrals, and claims resolution for 3 years.
I specialize in insurance verification, provider coordination, claims resolution, and patient communication. I hold a Bachelor of Science in Business Administration, major in Operations Management, equipping me with strong organizational, analytical, and process improvement skills essential for virtual healthcare roles.
My academic foundation is reinforced by my hospital internship in finance and accounting, where I managed receivables, payables, and interdepartmental documentation related to HMO and PhilHealth transactions. With a blend of healthcare knowledge, administrative precision, and customer service excellence.
Experience: 2 - 5 years
As a Customer Service Representative at Optum Global Solutions – United Healthcare, I provided high-level support to U.S.-based Medicare members, retirees, and veterans by guiding them through their insurance coverage, benefits, and plan details. I verified member responsibilities for medical procedures and prescriptions, assisted in locating appropriate healthcare providers, and scheduled appointments across various care settings. I also handled inquiries related to payment records, claims, appeals, and grievances with accuracy and confidentiality. This role strengthened my skills in insurance-based customer support, empathetic communication, and navigating complex healthcare systems to deliver timely and reliable service.
Experience: 2 - 5 years
As a Finance and Accounting Intern at Evangelista Medical Specialty Hospital Inc., I applied core principles from my Bachelor’s degree in Business Administration major in Operations Management to support financial documentation and process efficiency. I organized and recorded key financial documents, tracked cash advances, and processed receivables related to HMO, PhilHealth, and DOH transactions. By encoding doctors’ professional fees and managing supplier payables, I contributed to accurate financial logging and inventory updates. Collaborating with multiple departments to verify and distribute records enhanced my understanding of cross-functional workflows and reinforced my ability to maintain operational accuracy in a healthcare setting.
Experience: 2 - 5 years
For the past three years, I worked as a Healthcare Customer Service Representative at United Healthcare with Optum, with a strong background in customer service, insurance verification, and patient-provider coordination. I assisted verifying insurance coverage, investigating claims, scheduling appointments, and coordinating referrals and prior authorizations.
Experience: 6 months - 1 year
Experienced in producing and editing lifestyle and beauty videos for YouTube and TikTok, applying creativity, storytelling, and technical proficiency to deliver engaging digital content optimized for social media platforms.
Experience: 2 - 5 years
Handling inbound and outbound phone calls to support patients with insurance verification, claims resolution, and provider coordination. I guided patients through scheduling appointments, referrals, and prior authorizations while ensuring empathetic communication, accurate information, and a positive customer experience in a healthcare setting.
“There are just so many skills that the Filipino market has that they bring to the table. It's been amazing.”
Samori Coles
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