Rose Merylyn Jean Sarvida Monter

ROSE MERYLYN JEAN MONTER Tanza, Cavite •-• - EXPERIENCE Primary Care Clinic California, US (Remote) MEDICAL ADMINISTRATOR Jan 2025 – Aug 2025 • Processed 15+ prior authorizations and referrals per hour, ensuring timely insurance approvals and uninterrupted patient care. • Accurately managed 60+ medication refill requests per hour, supporting safe prescribing practices and continuity of treatment. • Audited and released 45+ medical records per hour while maintaining HIPAA compliance and strict confidentiality standards. Everise Taguig City (Remote) QUALITY ASSURANCE SPECIALIST Sept 2022 - Jan 2025 • Audited patient calls and medical-related interactions to ensure compliance with HIPAA and company policies. • Generated KPI and compliance reports, ensuring accurate data used for team performance evaluations. • Attended client meetings, calibrations, and business reviews to align with U.S. healthcare standards and regulations. Everise Taguig City (Remote) EXPERIENCE CHAMPION/SME Dec 2021 - Sep 2022 • Handled inbound and outbound member/patient calls regarding benefits, coverage, claims, prior authorizations, and account inquiries. • Guided multiple teams on healthcare processes, medical terminology, and EMR navigation. • Trained and coached staff to meet performance metrics and patient satisfaction goals. iQor RMS Phils., Dasmariñas City (Remote) SENIOR AGENT Apr 2021 - Nov 2021 • Managed US healthcare accounts, handling benefit inquiries, claims processing, and customer concerns. • Assisted with training sessions focused on product-specific learning and process optimization. • Led a team to enhance performance and meet key performance indicators (KPIs). • Participated in client meetings for quality calibration and content discussions. • Managed team schedules, submitted reports, and handled ad hoc tasks. CUSTOMER SERVICE ASSOCIATE Customer Service Representative • Assisted customers with order processing, billing concerns, refunds, and technical support. • Provided multi-channel customer support, including inbound, outbound, and chat services. Muntinlupa City Apr 2019 - Mar 2021 EDUCATION International Electronics and Technical Institute Information Communication and Technology Calamba City 2019 SKILLS • • • • • • Quality Assurance & Compliance Audits Data Analysis & Performance Reporting Strong Verbal & Written Communication Microsoft Office Suite (Excel, Word, PowerPoint) Google Workspace (Docs, Sheets, Gmail, Calendar, Drive) HIPAA Compliance & QA Auditing • • • • • • Multi-Channel Support (Phone, Email, Chat) Ring Central, Avaya, VOIP systems Data Entry & Medical Documentation Patient Scheduling & Coordination CRM and EMR Management (ECW, Athena,CareConnects, ICBM) Provider and IPA Portals (Availity, Noridian, Cigna, UHC, Regal and etc.)