I am a Quality Assurance Specialist with 4+ years experience in BPO and US Healthcare industry.
3+ Years: Senior Quality Evaluator — Audit calls, check compliance, enforce HIPAA rules, score performance, create reports in excel using formula, table and macro, facilitating and scheduling process calibration and monthly process refresher
1+ Years: Customer Service Representative — Handled insurance verification (coverage period), benefit inquiries (copay, deductibles, coinsurance, out of pocket), verify pre-auth and referral requirements, provider participation, COB update, claims status includes reviewing claims denial and appeal status| Member/Provider
I have deep knowledge of policies, privacy rules (HIPAA), and quality standards. I know exactly how to check what is right or wrong, find errors, and improve work quality.
I am new to online job ph, but I do this work every day for years. I am accurate, detailed, reliable, and work seriously.
My setup:
Lenovo IdeaPad Slim 3 (2023) | AMD Ryzen 5 | 16GB RAM | 512GB SSD | Windows 11 | with two 27" Monitor for dual screen and a noise canceling headset
Fast internet (100mbps) — 100% own equipment, ready 24/7
Availability:
I have big free time daily — can work 30–40 hours/week
I deliver same good work as senior freelancers. I am ready to start immediately.
Verified