Hello there, I'm Khimberlie Mae from the Philippines. I have over 5 years of experience handling inbound and outbound calls across customer service, technical support, fraud and risk management, and U.S. healthcare accounts. I help businesses and clients manage customer accounts, verify insurance, process claims, educate patients on benefits, and ensure exceptional satisfaction and retention.
Here’s how I can help your business:
General administrative assistance
Appointment scheduling
Inbox and email management
Handle inbound and outbound customer calls
Customer service (phone, email and chat)
Account management
Conduct fraud checks and risk mitigation
Fraud detection & fraud investigation
Customer account risk assessment
High-risk transaction monitoring
Transaction verification
Financial risk mitigation
Detecting account takeovers
Transaction risk classification
Detecting friendly fraud
Case escalation handling
Detecting theft-related fraud
Scheduling patient appointments
Insurance verfication
Insurance eligibility check
Patient education on insurance coverage and benefits
Pre-authorization
Payment dispute handling
Monitor and document patient insurance changes
Claims processing and claims denial management
Claims dispute & appeals handling
Manage patient cases to ensure accurate records and follow-ups
Maintain exceptional customer satisfaction and retention
Maintain patient information in compliance with HIPAA
Assist in reviewing current systems and process for improvement
Tools I'm proficient at:
Calendly, Google Workspace (Calendar, Gmail, Docs, Sheets, Forms, Drive), Microsoft Office (Word, Excel, PowerPoint, Outlook, Calendar), OneDrive, Microsoft Teams, Avaya, Meet, Citrix, Whatsapp, -----------, Canva Pro, CapCut, LinkedIn, Meta Business Suite, Ito, Credit initiation, Faat, Olympus, FDWC
Why businesses work with me:
Highly organized, detail-oriented & proactive
With prior insurance verification and preauthorization experience
High customer satisfaction and first-call resolution rates
Reliable and consistent in meeting KPIs and deadlines
Quick learner and resourceful in problem-solving
With clear and professional spoken and written English
Handles sensitive information with care and compliance
Comfortable with productivity tools as Google Workspace, MS Office, CRM and internal systems
With stable high-speed internet, noise canceling headset, and quiet professional home work space
Invite me for an interview.
I'm ready to help your business provide excellent customer experiences. Message me today and let’s discuss how I can contribute to your team.
Organization, Scheduling, Customer Support, Office and Administration, Personal Assistant, Healthcare, Administrative Support, Records Management, Google Sheets, Email Support, Phone Support, Customer Service, English, Communication, Risk Assessment, Operation Management, Risk Analysis, Payment Processing, Quality Assurance, Chargeback Analysis, Data Entry, Microsoft Excel, English Speaking, Medical Virtual Assistant, Attention to Detail, Case Management, Warm Calling, Medical Insurance, Customer Support Management
