Diana Mandac

I am a detail-oriented BPO professional with 6 years of experience specializing in both financial services and healthcare support. I thrive in remote work environments, combining strong problem-solving skills with a deep understanding of sensitive client concerns.

My career began in financial services, where I built a strong foundation in customer service and account management. I then successfully transitioned into the healthcare sector, spending two years as a Process Associate with UnitedHealthcare.

Building on this experience, as an Insurance Verification Specialist at AJT Diabetic Inc., where I was responsible for verifying patients' insurance eligibility for diabetic and CPAP supplies, checking coordination of benefits, confirming primary insurance coverage, reviewing copayments and deductibles, investigating prior supply usage from other providers, and identifying referral and authorization requirements that may impact claims processing.

My core areas of expertise include:

• Insurance Verification & Coordination: Confirming primary coverage, checking coordination of benefits (COB), and reviewing copayments, coinsurance, and deductibles.
• Healthcare Support: Processing patient benefits, eligibility verification, authorization requests, and referrals for specialized equipment (e.g., Diabetic and CPAP supplies).
• Client Communication: Delivering accurate, empathetic, and reliable support to healthcare providers and patients alike.
• Remote Operations: Highly adaptable, organized, and committed to maintaining quality and compliance in a work-from-home setup.

I take pride in my adaptability and my commitment to delivering accurate information. I am always looking to connect with other professionals and explore new opportunities where I can bring immediate value to a dedicated support team.

Medical Virtual Assistant at AJT Diabetic Inc (2023-04 – 2024-07)

• Verified insurance eligibility and benefits for patients.
• Processed prior authorizations and referrals.
• Coordinated with insurance providers regarding claims status.
• Maintained accurate patient and insurance records.

Medical Virtual Assistant at Optum Global Solutions (2020-09 – 2022-06)

• Managed insurance verification and benefit investigations.
• Processed claims appeals and authorization requests.
• Resolved claim denials through payer communication.
• Coordinated referral approvals and documentation.
• Ensured compliance with healthcare and insurance guidelines.

SLK Global Solutions (2017-07 – 2020-02)

• Managed customer inquiries related to credit card accounts and transactions.
• Investigated fraudulent activities and implemented fraud prevention measures.
• Handled billing disputes, chargebacks, and transaction investigations.

Bachelor of Science in Computer Engineering – Rizal Technological University

Information Technology Major in Computer System, Programming and Contact Center Services – DFCAITTI