Over 10 years of experience in BPO industry,
the last five years dedicated in healthcare customer service and quality assurance. My most recent role as a Quality Supervisor, I led a team of analysts supporting healthcare accounts, ensuring compliance with HIPAA regulations and improving service accuracy through structured audits and coaching. My prior experience as a Quality Assurance Analyst and Customer Service Representative further honed my skills in benefits verification, claims review, appeals validation, and provider/member communication. These roles required meticulous attention to detail, strong documentation practices, and a commitment to patient-centered service.
Beyond my technical expertise, I am proficient in Microsoft 365, Google Workspace, SharePoint, and CRM systems, enabling me to manage digital documentation and streamline workflows effectively. My background in quality auditing and root-cause analysis equips me to identify and resolve issues quickly, ensuring smooth billing operations and compliance with industry standards
Experience: 2 - 5 years
• Managed inbound and outbound calls for members and providers regarding benefits, eligibility, and claims. • Reviewed and validated appeals to ensure accuracy and compliance with regulatory guidelines. • Maintained accurate documentation of all interactions and case details
Experience: 10+ years
Word, Excel, PowerPoint
Experience: 1 - 2 years
• Conducted audits of member and provider interactions related to benefits, eligibility, and claims. • Ensured compliance with HIPAA and company policies through detailed evaluations. • Provided structured feedback and coaching to improve agent performance. • Performed root-cause analysis on recurring issues and partnered with operations teams for resolution. • Supported training initiatives by identifying knowledge gaps and contributing to learning materials.
Experience: Less than 6 months
• Lead and supervise a team of Quality Analysts supporting healthcare accounts. • Conduct coaching sessions, performance reviews, and feedback aligned with HIPAA regulations and service standards. • Develop and implement quality assurance frameworks and audit processes to improve service accuracy. • Collaborate with operations and training teams to address quality gaps and improve customer satisfaction scores.
Experience: 5 - 10 years
Experience: 2 - 5 years
formulas, formatting, data organization,
Experience: 10+ years
Docs, Sheets, Drive
“I have one of the best VAs I've had in a long time...she's been amazing”
Davonna Willis
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