Medical VA |Appointment Setter, Claims Follow-Up

Overview

Looking for full-time work (8 hours/day)

at $5.20/hour ($915.20/month)

Bachelors degree

Last Active

May 4th, 2024 (6 days ago)

Member Since

December 24th, 2018

Profile Description

QUICK BACKGROUND RECAP:
5 years as a Medical Virtual Assistant, with a focus on Setting Appointments, Claims Follow-up, and Insurance Verification. Entrepreneurial and would love to help grow your business.

WORK EXPERIENCE:

Optum Global Solutions (September 2019 - October 2020)
CUSTOMER SERVICE ADVOCATE

- Received inbound calls from OptumRx members
- Determined if it was an inquiry, payment or purchase, refill of their medications, or request for a new prescription
- Provided appropriate solutions by processing orders, providing information,       etc.
- Created requests for new prescriptions depending on the status of the medicine
- Processed payment for the ordered medications
- Provided information about products and services of OptumRx
- Invited members to transfer their prescription from a retail pharmacy to mail   order pharmacy by providing helpful financial insights
- Coordinated with the licensed pharmacist about clinical questions
- Recorded details of member inquiries, complaints, and actions taken
 
Upgrade to see actual info (September 2018 - October 2020) 
LEAD GENERATION SPECIALIST

- Prospected for business leads and generated link opportunities for Outreach Worthy clients.
- Researched contact email information of link prospects.
- Verified valid and working email addresses manually and through software (Upgrade to see actual info, Upgrade to see actual info, Ninja Outreach)
- Refined link opportunities for both scholarship link building and guest posting campaigns.
- Reached out and communicated with link prospects via email. Used, tested, and adjusted several email templates, ranging from the initial email to the third follow-up email. 
-Reviewed response rates accordingly and adjusted email campaigns based on results.


Alorica Philippines  (July 2016 to August 2018)
TECHNICAL SUPPORT REPRESENTATIVE for Comcast   
 
- Received phone calls from Comcast subscribers   
- Determined the kind of issue whether it is internet, cable, or phone issue. 
- Provided the required solution by troubleshooting or escalating the issue to the SMEs. 
- Coordinated with technicians for on-site visits as necessary    
- Recorded data of subscribers' reason for calling   
- Processed customers' payment for their service subscriptions   
- Provided customers' information regarding their account if needed


ACHIEVEMENTS:

After 6 months of hard work, I managed to be the 17th best agent out of 700+ agents for the month of February 2018. For the month of April in the same year, I managed to climb even further, snagging the top 7th place. 
This is a big accomplishment for me because it is hard to hit the Key Performance Indicator (KPIs) and pass the Quality Assurance (QA). I was also offered the position of Subject Matter Expert (SME) for the account for which I respectfully declined because I have already set my sights on working full-time from home. 
As a Lead Generation Specialist, I managed to exceed the expectations of my client by providing more of what is expected.  


SKILLS:
- Use of Einstein in troubleshooting internet, cable, and phone issues
- Use of Biller or Advanced Customer Support Representative (ACSR), where payments are processed.
- CRM, use in monitoring customers' WiFi or hotspot connections. I have a specialization in troubleshooting internet, cable, and phone connections. I am also good at de-escalating irate customers. If you want to deliver excellent customer service to your clients, I am the right person to join your team.
-Use of Upgrade to see actual info and EmailUpgrade to see actual info for Lead Generation.