Jay Arcales
@jayarcales
Healthcare operations specialist and SME optimizing patient care, compliance, and team performance.
What I'm looking for
I am a dedicated healthcare operations specialist with over two years of hands-on experience in patient advocacy, care coordination, and process optimization. I have worked directly on insurance verification, billing procedures, prior authorizations, and strict HIPAA compliance.
As a Subject Matter Expert, I evaluated complex issues, identified operational gaps, and recommended data-driven solutions that improved team efficiency and aligned with regulatory standards. I streamlined referral workflows and insurance requirements to ensure smooth transitions across points of care.
I excel at translating technical healthcare processes into clear, usable training and documentation for cross-functional teams and non-experts. My strengths include patient scheduling, compassionate communication, and maintaining privacy and confidentiality while resolving patient concerns.
I pursue roles where I can continue improving patient experience and operational accuracy, while developing knowledge transfer materials and supporting teams to deliver compliant, efficient healthcare services.
Experience
Work history, roles, and key accomplishments
Subject Matter Expert
IBEX Global
May 2025 - Jan 2026 (8 months)
Served as SME for healthcare processes and insurance workflows, identifying process gaps and delivering data-driven training and documentation to improve team efficiency and compliance.
Care Navigator
IBEX Global
Apr 2024 - May 2025 (1 year 1 month)
Guided patients through care plans, appointments, and referrals, streamlining referral workflows and insurance requirements to ensure smooth transitions and clear patient communication.
Customer Service Representative
IBEX Global
Oct 2023 - Apr 2024 (6 months)
Provided compassionate patient support and managed insurance verification, billing procedures, and prior authorizations while maintaining strict HIPAA compliance to ensure accurate assistance.
Education
Degrees, certifications, and relevant coursework
University of Bohol - Loon Institute
General Academic Studies
2021 - 2023
Completed general academic studies at the University of Bohol - Loon Institute from 2021 to 2023.
Availability
Location
Authorized to work in
Job categories
Interested in hiring Jay?
You can contact Jay and 90k+ other talented remote workers on Himalayas.
Message JayFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
