Supervisor - US Healthcare Account

Overview

Looking for any work (8 hours/day)

at $5.66/hour ($1,090.91/month)

Bachelors degree

Last Active

June 25th, 2026 (today)

Member Since

October 11th, 2018

Profile Description

Professional Summary
Highly accomplished and results-driven
professional with 15+ years of experience across US healthcare, technical
support, and business operations, specialized for the virtual environment.
Holds a Bachelor of Science in Nursing (BSN), providing a strong clinical and
technical foundation for medical support roles. Proven expertise in HIPAA
compliance, complex US health insurance claim review, EMR/EHR support, and
advanced customer service, committed to maximizing physician and patient
efficiency in a remote setting.

Core
Competencies and Technical Skills
MEDICAL
VIRTUAL ASSISTANT SKILLS
TECHNICAL
& BUSINESS SKILLS
HIPAA
Compliance
Microsoft Office Suite (Word, Excel,
PowerPoint)
US Health Insurance Policy &
Claims Analysis
LAN/WAN & Networking (Switching,
Routing)
Medical Terminology & EMR/EHR
Support
Windows OS, Mac OS, & Computer
Troubleshooting
Patient Scheduling & Prior
Authorization
Workforce Management & Reporting
(Daily, Weekly, Monthly)
Chat & Email Management
Business Analysis & Process
Improvement


Professional Experience
OPTUM GLOBAL SOLUTIONS INC.Assistant Manager (Supervisor) /
Workforce Intern / Customer Service Representative | 2018
– Present
Assistant Manager/Supervisor (Key
Accounts)
Managed and led a team of offshore agents
handling high-volume claims and member services, providing daily, weekly,
and monthly performance reports and scorecards.
Improved team quality standards by
auditing, reviewing, and coaching direct reports to ensure 100?herence
to client and company quality metrics.
Collaborated directly with onshore
leadership to implement process improvements and updates that enhanced
business efficiency.
Workforce Intern (National Business
Solution)
Managed daily workflow for the Back
Office team by monitoring and distributing all available ORS (Cases) to
both onshore and offshore agents.
Increased team productivity by
efficiently assigning cases, minimizing idle time, and ensuring timely
completion.
Created and generated timely daily,
weekly, and monthly reports to monitor the performance and productivity of
all back-office agents.
National Business Solutions (Back
Office Representative)
Generated critical Explanation of
Benefits (EOB) and various policy coverage letters (POLC, COC) with high
accuracy and quality.
Ensured strict HIPAA compliance during
the fulfillment of all member requests and when handling and sending
sensitive patient data.
Provided member education via callback,
explaining claim processing details, policy limitations, and steps
required to complete their complex requests.
Customer Service Representative (T1)
Handled high-volume inbound US calls,
educating members on their medical benefits and policy provisions.
Reviewed claims in detail, explaining how
they were processed, checking prior authorization status, and guiding
members through the appeal process.

MEDICAL VIRTUAL ASSISTANT (Chat Analyst) - Physical Therapist Office(Part ---------- Role) | January 2025 – March 2025Managed and responded to live patient chats, providing timely and accurate information on provider and therapist availability and details.Successfully cross-matched patient and provider details across multiple proprietary tools to ensure 100?ta accuracy and prevent patient confusion.Optimized communication by managing email correspondence, cleaning up inboxes, and routing time-sensitive queries to the appropriate representative, saving response time.
CONVERGYS PHILIPPINES
Business Analyst / HP Support Engineer |
June 2011 – March 2017
Served as an HP Support Engineer,
resolving all levels of customer concerns for both commercial and consumer
products.
Drove product and service improvement by
analyzing and reporting top trend issues weekly, monthly, and quarterly,
presenting data to stockholders.
Coached and guided support professionals
on best practices and call flow to ensure quality service and compliance.