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Anthonee Resty Campomanes

@anthoneerestycampoma

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Customer service leader specializing in healthcare billing, claims, and quality assurance.

Philippines

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What I'm looking for

I seek a role leveraging healthcare billing and quality assurance expertise, focusing on compliance-driven process improvement, agent coaching, and measurable KPI impact in a collaborative, customer-focused team.

I am a customer-service professional with over six years' experience across healthcare, e-commerce, and accounts receivable, focused on billing support, claims resolution, and regulatory compliance.

I have a strong track record auditing inbound healthcare calls for HIPAA compliance, coaching agents to improve documentation and performance, and escalating systemic risks to management to prevent violations.

My operational experience includes managing billing, enrollments, premium payments, account reconciliations, and e-commerce order management, with hands-on use of CRM tools like Salesforce and Zendesk and reporting via Excel and BI dashboards.

I bring proven capability in training, quality auditing, KPI tracking (AHT, Quality Score, Claim Accuracy Rate), and delivering empathetic first-contact resolution to improve customer satisfaction and operational accuracy.

Experience

Work history, roles, and key accomplishments

Accounts Receivable Rep

Qwest BPO

Managed aging reports to identify unpaid or incorrect accounts, processed billing adjustments and reconciliations, and maintained audit-ready documentation for compliance.

Accounts Receivable Reconciliations Documentation Collections & Compliance Financial Reporting

Senior Executive (Quality Analyst)

EXLService

Monitored car insurance claims communications for ISO and state law adherence, tracked KPIs (AHT, Quality Score, Claim Accuracy) and escalated high-risk claims to leadership to improve efficiency.

Claims Management Quality Assurance KPI Tracking Escalations ISO Coaching Process Improvement & Compliance

Marketing Assistant

DoubleDragon Corporation

Coordinated mall events, promotions and vendor relations, and prepared reports, presentations and marketing materials to support campaigns.

Event Coordination Vendor Management Promotional Materials Reporting Promotion

Process Trainer

Wipro

Trained new hires on HIPAA regulations, billing protocols, and customer handling, aligning training outcomes with KPIs to improve compliance and customer satisfaction.

Training Onboarding HIPAA Billing Coaching KPIs Communication

Customer Service Representative

Concentrix

Handled Amazon retail order placement, tracking, returns, exchanges, billing discrepancies and refunds, delivering empathetic support to achieve first-contact resolution.

E commerce Support Order Management Returns Customer Support CRM First Contact Resolutions Gift Card Management

Quality Analyst

Cognizant

Audited inbound US healthcare calls for HIPAA compliance, identified documentation gaps, coached agents, and reported systemic risks to management to reduce compliance violations.

Quality Assurance HIPAA Coaching Documentation CRM

Customer Service Representative

Wipro

Assisted US healthcare members with premium payments, billing discrepancies, reinstatements and guided customers through online payment platforms to resolve late payment issues.

Customer Service Billing Support Enrollment Payment Processing CRM Troubleshooting Platform & Payments

Quality Analyst

Wipro

Conducted audits of member calls for billing and premium payments, verified eligibility and payment schedules, and ensured accuracy of retention scripts to maintain compliance.

Billing Verification Quality Assurance Reporting CRM & Compliance