Work Preference
PROFESSIONAL SUMMARY
Overview
Work History
Education
Skills
Timeline
Open To Work

Awilda DeOlmeda

Livongo Teladoc
Greensboro

Work Preference

Desired Job Title

Data Quality & User Experience (UX) Research SpecialistClaims RepresentativeTelemedicine Support & Operations SpecialistEnrollment Specialist (Annual Enrollment Period - AEP)

Work Type

Full TimePart Time

Location Preference

Remote

Important To Me

Work-life balanceCompany CultureHealthcare benefitsPersonal development programsPaid sick leave401k matchStock Options / Equity / Profit SharingPaid time offWork from home option
3
years of professional experience

Results-driven Remote Healthcare Support Specialist with expertise in telemedicine registration, claims processing, and user experience research. Manages high-volume member care and data evaluation in remote settings using advanced healthcare software and CRM tools. Excels in technical troubleshooting, navigating health plan benefits, and resolving escalated complaints while delivering actionable insights for market research.

Work History

Data Quality & User Experience (UX) Research Specialist

1 Year 7 Months
Prolific & UserCrowd | 01.2025 - Current
  • Evaluated digital products, website layouts, and application interfaces, providing structured, objective UX/UI feedback that enhanced usability for global researchers.
  • Analyzed and responded to complex behavioral, logical, and academic data sets, ensuring data integrity to successfully bypass automated quality checks.
  • Managed high-volume independent tasks across multiple digital platforms under tight deadlines, demonstrating effective time management and self-direction.
  • Worked remotely to support team projects and communications.
  • Gained relevant experience through various roles in similar fields.
  • Conducted qualitative research to enhance user experience insights and product development.
  • Analyzed user feedback and data trends to inform strategic recommendations for design improvements.
  • Collaborated with cross-functional teams to streamline research processes and optimize project outcomes.
  • Designed and implemented surveys and tests for usability assessment of digital products.

Claims Representative

7 Months
Amerihealth | 01.2026 - Current
  • Guide managed care and Medicaid members through complex health plan benefits, coverage details, and care options.
  • Supported healthcare providers with member eligibility, care coordination, and claims inquiries to ensure seamless service delivery.
  • Logged interaction notes, claims details, and member outcomes into internal databases to uphold data integrity and enhance record accuracy.
  • Remote

Telemedicine Support & Operations Specialist

2 Years 9 Months
Livongo Teladoc | 11.2023 - Current
  • Register and onboard new members into comprehensive telemedicine programs, including General Medical, Mental Health, and condition management tracks (Hypertension, Weight Management, Diabetes).
  • Coordinated and scheduled virtual appointments across general medical, mental health, and nutritional coaching disciplines to enhance member access to care.
  • Managed technical support queues to resolve member portal login issues, credential resets, and mobile/web account troubleshooting, improving user experience.
  • Delivered omnichannel support via live chat and phone for account management, billing inquiries, and customer complaints, ensuring member satisfaction.
  • Diagnose hardware and connectivity issues for member health devices, including blood glucose meters, blood pressure cuffs, and cellular weight scales.
  • Oversee medical supply logistics by processing member orders for test strips, lancets, and physical monitoring equipment.
  • Complete online medical histories alongside members to ensure accurate documentation for telehealth providers.
  • Provided remote assistance to members for technical issues

Enrollment Specialist (Annual Enrollment Period - AEP)

4 Months
Humana | 10.2024 - 02.2025
  • Educated potential and existing managed care and Medicaid members on plan benefits, structural coverage changes, and enrollment options, enhancing member understanding during high-volume AEP window.
  • Assisted healthcare providers with inquiries on patient eligibility, plan coordination, and enrollment verification, facilitating smoother provider interactions.
  • Documented detailed, compliant communication logs in corporate systems, ensuring adherence to stringent healthcare regulatory standards.
  • Remote

Education

Associate of Science - Business Administration

CUNY Bronx Community College | Bronx, NY
Graduate

Bachelor of Science - Business Administration And Management

Devry University | New York, NY

Human Resource Business Management Coursework (Completed 45 credit hours)

Skills

Data quality
Claims Analysis
Claims Processing
Claims processing
Medical documentation
Omnichannel support
Remote operations
Device management
Epic Systems
CRM ticketing
Microsoft Office proficiency
Healthcare Regulations

Timeline

Claims Representative

Amerihealth
01.2026 - CurrentRead More

Data Quality & User Experience (UX) Research Specialist

Prolific & UserCrowd
01.2025 - CurrentRead More

Enrollment Specialist (Annual Enrollment Period - AEP)

Humana
10.2024 - 02.2025Read More

Telemedicine Support & Operations Specialist

Livongo Teladoc
11.2023 - CurrentRead More

CUNY Bronx Community College

Associate of Science from Business Administration
Read More

Devry University

Bachelor of Science from Business Administration And Management
Read More
Awilda DeOlmeda