I am a Quality Assurance Specialist with 4+ years experience in BPO and US Healthcare industry.
3+ Years: Senior Quality Evaluator — Audit calls, check compliance, enforce HIPAA rules, score performance, create reports in excel using formula, table and macro, facilitating and scheduling process calibration and monthly process refresher
1+ Years: Customer Service Representative — Handled insurance verification (coverage period), benefit inquiries (copay, deductibles, coinsurance, out of pocket), verify pre-auth and referral requirements, provider participation, COB update, claims status includes reviewing claims denial and appeal status| Member/Provider
I have deep knowledge of policies, privacy rules (HIPAA), and quality standards. I know exactly how to check what is right or wrong, find errors, and improve work quality.
I am new to online job ph, but I do this work every day for years. I am accurate, detailed, reliable, and work seriously.
My setup:
Lenovo IdeaPad Slim 3 (2023) | AMD Ryzen 5 | 16GB RAM | 512GB SSD | Windows 11 | with two 27" Monitor for dual screen and a noise canceling headset
Fast internet (100mbps)
— 100% own equipment, ready 24/7
Availability:
I have big free time daily — can work 30–40 hours/week
I deliver same good work as senior freelancers. I am ready to start immediately.
Experience: 2 - 5 years
I have extensive experience in customer support, handling client inquiries, resolving concerns, and providing helpful, professional assistance. I am skilled in communicating clearly, addressing needs effectively, and ensuring customers receive satisfactory support. I work with attention to detail, follow proper procedures, and maintain a reliable, service-oriented approach in all interactions.
Experience: 1 - 2 years
I have experience as a Quality Auditor, ensuring work meets standards, checking for errors, and following processes strictly. I also have Customer Service experience, handling inquiries, resolving concerns, and providing good support to clients. I am detail-oriented, accurate, and reliable in both roles.
Experience: 2 - 5 years
I have strong knowledge of privacy rules, data security, and compliance standards from my experience in quality auditing and customer service. I follow strict guidelines, protect sensitive information, and ensure all work meets required standards to maintain confidentiality and proper compliance practices.
Experience: 1 - 2 years
I have hands-on experience in BPO environments through quality auditing and customer service roles. I understand operational processes, follow workflows strictly, monitor work standards, and ensure tasks are completed efficiently and correctly. I can manage daily tasks, follow procedures, and help maintain smooth operations with attention to detail and reliability.
“I can find little blocks of time to focus so we can scale this business.”
Clearman Lawyers
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