Open to opportunities

Maryjane Galicia

@maryjanegalicia

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Dynamic Customer Service Representative with 7 years in healthcare.

Philippines

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What I'm looking for

I am looking for a role that values customer satisfaction and offers opportunities for growth.

I am a dynamic Customer Service Representative with over 7 years of experience in the healthcare industry. My expertise lies in managing inbound and outbound calls, resolving eligibility, benefits, authorization, and claims inquiries, and enhancing user experiences. I have a proven track record of assisting members and providers in navigating complex systems to expedite service efficiency.

Throughout my career, I have been known for delivering timely and accurate support that meets customer needs and expectations. My recent role at Imagenet Philippines LLC involved facilitating inbound calls from healthcare providers regarding claims and eligibility inquiries, where I consistently delivered high-quality service. I am ready to bring my exceptional skills and dedication to a new team, contributing to improved customer satisfaction and operational efficiency.

Experience

Work history, roles, and key accomplishments

Customer Service Representative

Imagenet Philippines LLC

Oct 2023 - May 2024 (7 months)

Facilitated inbound calls from healthcare providers regarding claims, appeals, and eligibility inquiries, delivering high-quality service and support.

Healthcare Customer Support Problem Solving

Customer Service Representative

Optum Global Philippines Solutions Inc.

Mar 2019 - Jun 2023 (4 years 3 months)

Assisted providers and members with inquiries about eligibility, benefits, claims, and appeals, ensuring effective problem resolution and customer satisfaction. Coordinated prior authorization requests, intake, and follow-ups with providers and insurance companies outside the United States to expedite document processing.

Authorization Intake And Follow Up Request Customer Support Customer Experience Problem Solving

Community Support Agent

Eperformax

Jan 2018 - May 2018 (4 months)

Delivered comprehensive customer support, assisting users with online account navigation and resolving product and service-related issues.

Customer Support Problem Solving Customer Experience Online Account Navigation

Client Partner - Customer Service

Access Healthcare Services Manila INC

Mar 2017 - Aug 2017 (5 months)

Guided clients and providers in using the athenahealth portal via inbound calls and email support.

Customer Support Inbound Email Support

Customer Service Representative

C3/Customer Contact Channels Inc.

Feb 2016 - Sep 2016 (7 months)

Supported Medicare members with prescription refills, ensuring accuracy and timely service delivery.

Prescription Refills Medicare Customer Support Service Delivery

Senior Customer Specialist - Operations

Concentrix

May 2013 - Sep 2015 (2 years 4 months)

Conducted outbound calls to various insurance companies to inquire about claims and payment statuses while managing inbound queries regarding eligibility, benefits, claims, and appeals.

Outbound Calling Inbound Insurance Claims

Education

Degrees, certifications, and relevant coursework

Bicol University College of Agriculture and Forestry

Bachelor of Science, Agriculture, Major in Crop Science

2005 - 2009

Completed a comprehensive program focusing on agricultural principles and practices. Specialized in crop science, gaining expertise in cultivation, management, and sustainable agricultural techniques.