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Junmar Caballe

Junmar Caballe

Healthcare IT Interface Analyst | SME & QA

Talent
Quezon CityMember since August 9, 2026
MasterfilesNutmegeRxSurescriptsSalesforceHIPAASMEQAHealthcare Terminology ProficiencyInsurance Claims ProcessingPatient AdvocacyProblem Resolution
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MasterfilesNutmegeRxSurescriptsSalesforce

About

To enhance my professional skills, capabilities and knowledge in an organization which recognizes the value of hard work and trusts me with responsibilities and challenges.

Experience

Clinician Tier 2 Support | SME & QA - FSL First Source Ltd.

(2024-04 - 2026-07)

  • Troubleshoot EMR-to-Lab interface issues for 1000+ clients using Masterfiles, Nutmeg, and Clinician tools
  • Analyze HL7 rejections in Salesforce: missing data, special characters, order transmission failures, and mapping errors
  • Perform Account#, ClientID, and Location mapping to ensure accurate order routing and result delivery
  • Load/Update Lab compendium files: ORD, AOE, CPT via Clinician tools to enable new test orders
  • Resolve eRx interface issues: DEA/NPI mismatches, Surescripts log research, EPCS enrollment
  • Lead as SME & QA. Trained team and maintained quality SLAs after loss of KB in Feb 2023 cyber attack

CARE REPRESENTATIVE - TRANSCOSMOS-VERIZON

(2022-05 - 2023-10)

  • Four consecutive months of PERFECT(5 STARS) CUSTOMER SURVEY
  • Troubleshooting of cellular data/5g internet slow/intermittent/no signal or reception problems
  • Investigate ongoing issue & provide permanent resolution
  • Evaluated customer information to explore issues, develop a concrete resolution to eliminate REPEAT CALLS
  • Explaining on why their bill went up, Educate & set expectation of their monthly bill

CARE REPRESENTATIVE - AFNI-VERIZON

(2021-10 - 2022-05)

  • Identifying the main cause of cx problem & making sure to provide excellent customer satisfaction
  • Tracking cx missing package by coordinating through UPS & Fedex
  • Troubleshooting of cellular data/5g internet slow/intermittent/no signal or reception problems
  • Recommendation of 5G cellular plan & 5g mobile phones that will suit to the needs

CSR - SOLUTRAN INC. HEALTHY BENIFITS

(2019-10 - 2021-10)

  • Healthcare Terminology Proficiency: Strong grasp of healthcare language for effective communication with customers
  • Insurance Claims Processing: Efficiently navigate and process insurance claims to ensure accuracy and timely reimbursement
  • Patient Advocacy: Advocate for patient needs with empathy, ensuring high levels of satisfaction
  • HIPAA Compliance: Thorough adherence to HIPAA regulations for maintaining patient information confidentiality
  • Problem Resolution: Swiftly identify and address customer issues, applying critical thinking for effective resolution

Education

TAGUMPAY NATIONAL HIGH SCHOOL (2007 - 2011)

Skills

Healthcare IT Interface AnalystSME & QA

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