Open to opportunities

Gissele Gayas

@gisselegayas

Message

Quality-focused healthcare BPO professional specializing in training, QA, and revenue cycle management.

Philippines

Message

What I'm looking for

I seek roles where I can combine QA and training in US healthcare RCM, drive process improvements, mentor teams, and contribute measurable quality gains.

I am a healthcare BPO professional with experience in quality assurance, training, and Revenue Cycle Management (RCM) for US healthcare clients. I validate and audit physician-billing phone calls, produce regular quality reports, and use tools such as FACS, Five9, Epic, and Cerner to ensure compliance and accuracy.

I have conducted foundation and product-specific training for newly hired and tenured employees, led certifications, supported escalations as a subject matter expert, and coordinated training and development projects focused on process improvement.

I bring a strong operational mindset, attention to detail, and a commitment to continuous improvement to roles that combine quality, training, and RCM responsibilities.

Experience

Work history, roles, and key accomplishments

Current

Quality Analyst

Current

Gayas Medmetrix

Jan 2025 - Present (1 year)

Validates and audits phone calls by physician billing representatives and sends weekly and monthly quality reports to improve accuracy and compliance.

Quality Assurance Five9 Epic Cerner Reporting Training

Training Supervisor

GeBBS Healthcare Solutions

Jan 2021 - Jan 2025 (4 years)

Oversaw and coordinated training and development programs for RCM projects, identified training needs, and led process improvement initiatives across teams.

Training Learning Development RCM Process Improvement Project Coordination Stakeholder Management

Line Trainer

GeBBS Healthcare Solutions

Delivered product-specific training per client requirements and provided intensive refresher training to support operational performance and tenure associates.

Product Training Training Clients Refresher Training Coaching

Process Trainer

GeBBS Healthcare Solutions

Conducted foundation training for newly hired employees on RCM, US healthcare, denial management and authorization processes, and supported operations with refresher trainings.

Training Delivery RCM US Healthcare Processes Denial Management Authorization Onboarding

Patient Account Representative

GeBBS Healthcare Solutions

Obtained eligibility and benefits verification, initiated prior authorizations, and ensured patient data in hospital systems matched payer portals for claim processing.

Eligibility Verification Patient Registration Claims Processing Attention To Detail