Simon San Diego

Senior Associate

Location
Philippines
Desired Salary
Unspecified
Work preference
Full Time
Status
Actively looking
Field / Industry
Admin & Virtual Assistant
Relocation: No
Notice Period: Immediate

This user has not passed any tests yet

English -

About Me

I'm a passionate service professional with over half a decade experience of helping clients and patients navigate complex processes with calm, clarity, and care. I turn problems into smooth experiences—resolving billing and technical issues quickly, personalizing support to each person’s needs, and consistently raising satisfaction and trust. I have coordinated radiology appointments, including pre-registration, insurance verification, and pre-authorizations to ensure smooth patient flow. I schedule and adjust procedures while maintaining accurate electronic patient records (EHR). I communicate appointment details and prep instructions to patients, resolving inquiries promptly. I collaborate with radiologists and technologists to optimize scheduling and workflow. Additionally, I provide troubleshooting expertise, explain account billing details, and ensure customer satisfaction. My experience spans customer service, technical support, claims adjudication, and eligibility verification, enabling me to manage complex client needs effectively. I am committed to delivering seamless service and fostering positive client relationships through strong communication and problem-solving skills.

Skills

Problem SolvingCustomer ServiceCollaborationTechnical SupportCritical ThinkingEmpathyAppointment SettingComputer LiteracyActive Listening

Education

Roosevelt College Marikina
2010 - 2014

Secondary School

Pamantasan Lungsod ng Marikina
2015 - 2019

Bachelor of Science in Business Administration

Experience

Customer Service Rep & Tech Support @ Ibex Global Solutions
2022 - 2023
Lead Associate / Subject Matter Expert @ R1 RCM Ph.
June 2023 - Present
Customer Service Rep & Tech Support @ Quantrics Enterprises Inc.
2020 - 2022
Claims & Benefits / Eligibility CSR – Humana @ Hinduja Global Solutions
2019 - 2020

Provided customer support for telecommunications services by addressing inquiries, resolving issues, troubleshooting technical problems, and managing billing concerns, ensuring client satisfaction through effective communication and problem-solving. Evaluate and adjudicate complex medical claims with accuracy and compliance. Manage enrollment, renewal, and eligibility verification for Medicaid and other coverage. Maintain claim and member records precisely while communicating with internal teams and external partners. Educate members on eligibility requirements and assist with documentation processes to ensure seamless service delivery.

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