Ma. Jessica D. Martinez
B13 L4 Primavera subd. Brgy. Tungko Manga, SJDM, Bulacan-/-
Career Objective
Senior Assistant Clinical Coordinator, Senior Customer Service Representative, Training Coach, Team Lead, and Virtual Healthcare Receptionist with more than 8 years of BPO experience looking into securing a challenging position in a reputable organization to expand my learnings, knowledge, and skills.Loading...
Tasks and Responsibilities
✅ Fluent in English oral and written
✅ Expert on communications inbound and outbound via phone, chat, and email
✅ Exposed to handling patients, medical providers, and other health insurance companies
✅ HIPAA compliant
✅ Assists on appointment setting
✅ Check benefit plans and eligibility
✅ Explains medical claims
✅ Prior Authorization for benefit coverage and Predetermination for medical necessity requirement check
✅ Assists on process for appeals and peer to peers
✅ Prepare performance reports
✅ Managed a team max of 20 people
✅ Audited calls for training and quality
✅ Supported training classes
✅ Outbound marketing calls
✅ Social Media monitoring
✅ Data Entry
✅ Credentialing
✅ Comfortable working independently on projects, be a team player and can work unmonitored
✅ Highly trainable and a fast learner
✅ PRIMARY SYSTEM: Ryzen 5 8GB ram
✅ SECONDARY SYSTEM: Intel Core i3 12GB ram
✅ LAN connection of 25 Mbps
Educational Attainment
TERTIARY
2020Our Lady of Fatima University
BS Medical Laboratory Science – 1st yr
2017 – 2018Our Lady of Fatima University
BS Physical Therapy - 3rd year
2013 - 2014Our Lady of Fatima University
BS Psychology – 2nd year
2009 – 2011Bestlink College
Associate Degree HRM
SECONDARY
2005 – 2009North Fairview High school
Work Experience
May 2021 (present)Thriving Lane Behavioral Health Practice
Virtual Healthcare Receptionist (part-time)
July 2015 - June 2021United Health Group/ Optum
Assistant Clinical Coordinator Sr.
August 2014 – May 2015Transcom (Tiendesitas/ EDSA Ortigas )
Technical Support/ Fault Manager
Sept. 2012 – February 2014IBM Daksh ( UP Ayala Technohub )
Kindle Tier 2 Specialist
July 2011 – Sept. 2012McDonald’s ( Regalado/Montalban )
Service Crew
Character Reference
Eunice Ann BuanAna Desunia
Supervisor Quality Analyst
United Health Group/ OptumUnited Health Group/
[email protected]
Angeline DonesaKriza Mae Cabungcal
SupervisorWorkforce Analyst, Planning and Scheduling
Wing AI Technologies Inc.Concentrix---