Jennifer

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Overview

Looking for any work (8 hours/day)

at $7.05/hour ($1,364.00/month)

Bachelor's degree

Last Active

July 16th, 2026 (2 days ago)

Member Since

April 18th, 2026

Profile Description

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

Top Skills

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.

Other Skills

Experience: 2 - 5 years

formulas, formatting, data organization,

Experience: 10+ years

Docs, Sheets, Drive

Basic Information

Age
39
Gender
Female
Website
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Address
Cainta, Rizal
Tests Taken
None
Government ID
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