US HEALTHCARE RCM & REVENUE OPERATIONS SPECIALIST

Verified

$10/hr

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Outline

Looking for Full-Time work (8 hours/day) at $10/hour

High School Diploma

English proficiency Conversational

Professional Summary

US healthcare revenue-cycle and operations professional with 6+ years of healthcare/BPO experience and hands-on full-cycle medical
billing experience. Experienced in managing revenue-impacting work across claims submission, eligibility, prior authorization, EOB/ERA
review, payment posting, A/R follow-up, denial resolution, corrected claims, appeals, patient balances, and payer portals. Former Assistant
Manager for Training & Quality with additional experience leading teams, building quality controls, analyzing performance trends,
standardizing workflows, and resolving escalated operational issues. Well suited for remote roles requiring independent ownership, strong
judgment, detailed documentation, and measurable revenue-cycle results.

Skills & Experience

Skills

Leadership 2-5 Years

customer service representative 1-2 Years

Training & Coaching 2-5 Years

Quality Assurance (QA) 2-5 Years

Healthcare Claims & Benefits Processing 2-5 Years

MS Office 2-5 Years

Medical Biller 1-2 Years

Experience highlights

Virtual Medical Biller

Optometry Clinic & Eye Care Center · June/2025 – Present

Managed revenue cycle activities for vision and medical insurance claims. Reviewed EOBs/ERAs, posted payments, investigated rejections, managed patient ledgers, tracked delinquent accounts, and prepared financial reporting.

Assistant Manager — Training & Quality Department

Coronis Health Philippines, Inc. · January/2023 – Present

Led trainers and quality auditors for healthcare training and quality control. Designed training programs, developed QA forms, handled escalations, analyzed operational trends, and produced executive reporting.

Team Lead — Operations

Coronis Health Philippines, Inc. · March/2021 – Present

Managed daily operations, team performance, and escalations. Coached employees on KPIs, maintained dashboards and SOPs, and coordinated cross-functional issue resolution.

Customer Service Representative — Patient Billing Support

Coronis Health Philippines, Inc. · February/2020 – Present

Handled patient billing inquiries, eligibility verification, and denial investigation. Processed payments, maintained ledgers, and managed billing disputes with HIPAA compliance.

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