I'm Janice Limbaga i do have 5 years of experience working in the BPO industry. 3 years of experience working as a Sales Representative, and 2 years with healthcare, I believe my skillset and expertise make me a strong candidate for this role.
Throughout my tenure as a Sales Representative, I have developed a deep understanding of customer needs and preferences, as well as the ability to build and maintain strong relationships with clients. My experience has honed my communication, problem-solving, and interpersonal skills, which I believe are essential for excelling in a Customer Service Representative role.
In my previous position, I consistently exceeded sales targets by actively listening to customers' concerns and providing tailored solutions. I have also gained extensive experience in handling customer inquiries and complaints, ensuring that each issue was resolved promptly and satisfactorily. My ability to empathize with customers and deliver exceptional service has been the key to my success in sales and having 2 years of experience working with Aetna, a prominent health insurance company in the United States. In my previous role, I’m responsible for obtaining medical records from various healthcare providers to support Medicare adjustment review and commercial risk adjustment chart review.
The Medicare adjustment review is a process that ensures fair payment to healthcare providers based on the health status of their patients enrolled in Medicare Advantage plans. To perform this task, I will be contacting offices to request the necessary medical records for the patients involved in these reviews. The role involves obtaining patient consent, maintaining confidentiality, and compiling the relevant information from the records for further evaluation by Aetna or the relevant authorities. By doing so, you contribute to the overall goal of ensuring accurate risk adjustments and fair payments within the healthcare industry.
