Hello! I’m Geraldine Mosquera, a dedicated and detail-oriented professional with over 3 years of experience in the US healthcare industry, specifically supporting a major health insurance provider as a Senior Process Executive.
My expertise includes:
?? Inbound and outbound member support
?? Comprehensive insurance verification
?? Claims investigation and resolution
?? Benefit quoting (HMO, PPO, Medicare, Medicaid)
?? Coordination with providers, vendors, and government POEs (NYSOH, HRA, SSA)
?? HIPAA compliance and member data protection
?? Escalations, grievance & appeals, and prior authorization support
?? Technical assistance with online portals and accounts
I take pride in my ability to explain complex plan details clearly, resolve billing issues, and guide members through seamless healthcare experiences. My communication skills, reliability, and empathy have consistently resulted in positive member feedback and improved service metrics.
I’m based in the Philippines and am fully equipped for remote work — with my own laptop, wired internet connection, and a quiet, dedicated home office setup. I'm highly trainable, detail-focused, and eager to contribute to teams that value quality and compassion in customer service.
Let’s connect! I’m actively looking for remote opportunities in customer support, healthcare admin, or virtual assistance roles.