Open to opportunities

Karl Banlasan

@karlbanlasan

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I support U.S. healthcare providers and members with insurance, claims, and compliant administration.

Philippines

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What I'm looking for

I'm looking for a healthcare virtual assistant, medical administrative, insurance verification, or provider/member support role where I can apply U.S. healthcare insurance knowledge, HIPAA-compliant documentation, claims support, and high-volume service experience.

I've supported U.S. healthcare providers and members at Sutherland Healthcare Solutions, managing 70–100 daily inquiries involving eligibility, benefits, claims, and behavioral health coverage.

I verify coverage, process claims adjustments, document case notes, and coordinate follow-ups while maintaining HIPAA compliance. My work achieved 98–100% quality assurance scores, approximately 95% first-call resolution, and a 20% reduction in claim-resolution turnaround time.

Most recently, I coordinated recruitment, onboarding, scheduling, confidential records, and HRIS processes at Cottage Dream Vacations Inc. I bring healthcare support, administrative coordination, records management, and process improvement experience to virtual assistant and provider-support work.

Experience

Work history, roles, and key accomplishments

Human Resource Generalist

Cottage Dream Vacations Inc.

Aug 2023 - Mar 2026 (2 years 7 months)

Coordinated recruitment, interview scheduling, pre-employment documentation, onboarding, and cross-functional communication. Centralized HR, recruitment, and legal records in Odoo HRIS, improving documentation accuracy, accessibility, and compliance.

Recruitment Interview Scheduling Onboarding HRIS Odoo Records Management Administrative Support Process Improvement

Provider & Member Services Specialist

Sutherland Healthcare Solutions

Dec 2021 - Jul 2023 (1 year 7 months)

Managed 70–100 daily provider and member inquiries involving eligibility, benefits, claims, and behavioral health service coverage. Maintained 98–100% quality assurance scores and approximately 95% first-call resolution.

Eligibility Verification Benefits Verification Claims Support Behavioral Health Support HIPAA compliance Healthcare Documentation Member Services Quality Assurance First Call Resolution

Healthcare Support / Provider Services Representative

Sutherland Healthcare Solutions

Oct 2019 - Dec 2021 (2 years 2 months)

Handled 70–100 provider inquiries daily for eligibility, benefits, deductibles, and coverage verification. Reviewed and processed 40+ claims adjustments per day with high accuracy and investigated billing discrepancies.

Eligibility Verification Benefits Verification Claims Adjustment HIPAA compliance Provider Services Administrative Support Quality Assurance First Call Resolution