Mighty Christian Cardines

MIGHTY CHRISTIAN CARDINES PROFILE CONTACT- mightychristiancardines@gmail. com Brgy. Zone 3 Santa Fe, Leyte Results-driven health care advocate and customer service representative with extensive BPO healthcare experience transitioning to a virtual assistant role. Proficient in addressing patient concerns. managing administrative tasks, and ensuring confidentiality. WORK EXPERIENCE Optum Philippines SKILLS Healthcare Customer Support Patient interaction Insurance verification Claims processing HIPAA compliance awareness Data privacy Communication skills Health Care Advocate 2023 - 2026 • Handling inbound and outbound calls, emails, and chats. • Assisting patients or members with healthcare-related inquiries. • Explaining benefits, coverage, and healthcare services in simple terms. • Coordinating with hospitals, clinics, and providers. • Helping patients schedule appointments with doctors, or specialists. • Verifying insurance eligibility and coverage, and explaining deductibles, copays, claims, and reimbursements. • Assisting with prior authorizations, claims statue, and handling complaints related to billing, coverage, or denied claims. • Accurately documenting all interactions in the system. • Maintaining patient confidentiality (HIPAA compliance for U.S, accounts). • Ensuring patients receive appropriate care and support Appointment scheduling Analytical and critical thinking Problem Solving and Conflict MS Office Suite, Google Workspace and Communication tools (Zoom, Skype) Administrative support and back-office tasks Technical support Medical record management Foundever Customer Service Representative Managed inbound customer service calls, efficiently resolving queries and complaints to uphold satisfaction levels. Assisting with enquiries about mobile plans, internet services, billing, and promotions. Providing accurate information about products and services. Addressing customer complaints calmly and professionally. Escalating complex technical concerns to higher-level support. Wipro Health Care Associate LANGUAGES English (Fluent) REFERENCE March 2023 - August 2023 2020 - 2022 Uploading or processing medical records and charts. Process appeals and waivers for the patients Coordinate with providers to fulfil patients' requests. Handled sensitive patient information confidentially, in compliance with Data Protection Act guidelines. Documented care provided, ensuring accurate and up-to-date records were kept. EDUCATION Ian Lemuel Ladrera Naval State University Email :- Bachelor of Science in Marine Transportation 2019