Ezra Yap
Prior Authorization Specialist
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About
Accomplished Customer Service Professional and Quality Analyst with a robust background in healthcare operations and data encoding. Expert in driving customer satisfaction through analytical problem-solving and quality assurance methodologies. Technical proficiency includes full-stack web development, combining front-end and back-end solutions with a focus on data integrity and process optimization.
Experience
Quality Analyst at Buwelo BPO Solutions (2024-04 – Present)
Quality Analyst role focusing on data analysis, quality assurance, and customer satisfaction improvement
- Analyzed data trends to provide strategic recommendations, improving forecasting accuracy by 25%
- Documented daily, weekly, and monthly reports, reducing errors in compliance tracking by 30%
- Audited over 1,000 communication records (calls, emails, chats, tickets) to ensure compliance with quality standards
- Led training sessions, reducing agent errors through performance feedback and coaching
- Handled and resolved 80% of escalated concerns, improving client satisfaction ratings
Prior Authorization Specialist at Buwelo BPO Solutions (2022-08 – 2024-04)
Prior Authorization Specialist handling medical documentation and insurance approval processes
- Compiled and submitted medical charts and supporting documentation for insurance approval
- Initiated authorizations through payer portals, resolving specialty medication denials
- Clarified clinical requirements directly with insurance representatives when needed
- Relayed approval details to clinics, including dosage and quantity
- Coordinated appeals and assisted in drafting Letters of Medical Necessity
Data Encoder, Data Analyst, Customer Service at Freelance (2013-06 – 2022-07)
Freelance role combining data encoding, analysis, and customer service responsibilities
- Managed CMS database integrity by accurately entering 5,000+ products into WordPress and Magento platforms
- Resolved 50+ tickets, 80+ emails, and 20+ customer calls daily
- Validated and cleaned data to ensure completeness and accuracy
- Collaborated remotely with international clients and project teams
Data Encoder at Source HOV (2012-05 – 2013-05)
Data Encoder role in healthcare processing and compliance
- Processed dialysis records and other patient medical documents for system entry
- Analyzed documents for input errors and compliance with healthcare regulations
- Maintained top-tier performance metrics and consistently met quality standards
Education
Bachelor of Science in Computer Science – ComteQ Computer and Business College (2020 – 2024)


