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Customer Service Representative
Healthcare customer service representative experienced in benefits verification, claims processing, and HIPAA-compliant medical records support.
PhilippinesCustomer Service Representative at Sykes Asia Enterprises, Inc. / Foundever
Provided healthcare support via inbound calls, addressing benefit coverage, member eligibility, and claims processing. Resolved billing issues and escalated services following HIPAA guidelines.
Healthcare SupportInbound CallsBenefits VerificationClaims ProcessingHIPAA complianceCustomer Satisfaction
Processed and fulfilled medical record requests from patients, providers, and legal entities via phone, email, live chat, and callbacks. Ensured HIPAA compliance and secure data handling.
Medical RecordsHIPAA complianceDocumentationData SecurityPhoneEmailLive Chat
Pursued a Bachelor of Science in Hospitality Management during the 2019-2020 academic year.
Pursued a Bachelor of Science in Hospitality Management during the 2019-2020 academic year.
Completed the Arts and Design track during the 2017-2019 academic years.
Completed the Arts and Design track during the 2017-2019 academic years.
Completed secondary education from 2013 to 2017.
Completed secondary education from 2013 to 2017.
Certified in Health Insurance Portability and Accountability Act guidelines, privacy rules, data security, and patient confidentiality standards.
Successfully trained and assessed in commercial food preparation, kitchen operations, cooking techniques, and food safety standards.
Managed escalated cases from frontline agents for hosts and guests across call, chat, and email channels. Handled complex booking and account issues with empathy and swift resolution.
Escalation ManagementTravel AccountCall Center ManagementChatEmailProblem Solving
Engaged prospective clients to introduce solar energy solutions and educated homeowners on solar benefits. Scheduled qualified appointments for the sales team.
Appointment SettingSalesCustomer EngagementCommunication Skills
Gained hands-on experience in fast-paced customer service, food safety standards, counter operations, and team coordination.
Customer ServiceFood SafetyCounter OperationsTeam Coordination
Profile sourced from Himalayas.