Versatile professional with hands-on experience in insurance verification, prior authorization, billing, coding, and medical claims. Known for strong communication skills, a solid work ethic, and a collaborative professional attitude. Committed to delivering high-quality service that supports efficient operations and strong business results.
Bestlink College of the Philippines
Processing insurance claims. (Outpatient and Inpatient Physician, and Facility claims).
Evaluate claims for payment eligibility based on insurance guidelines.
Identify and resolve claim discrepancies and denials.
Communicate with healthcare providers and patients regarding claims statuses.
Review medical claims for completeness, accuracy, and compliance.
Monitoring user-generated content on social media platforms, websites, or forums to ensure it complies with community guidelines or company policies.
Removing or editing inappropriate, offensive, or harmful content.
Escalating severe violations to higher management for further action.
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Search the Internet for information on a wide variety of topics.
Scheduling appointments, handling correspondence, and managing records.
