Skills
Operations Manager
2-5 Years
Accounting > Claims Processing
2-5 Years
Accounting > Financial Accounting > Analysis
2-5 Years
Human Resources > Onboarding
2-5 Years
Office and Administration > Quality Assurance
2-5 Years
Team Management
2-5 Years
Audit
2-5 Years
~Data Entry
2-5 Years
- Customer Service
5-10 Years
Banking Operations
2-5 Years
HIPAA Compliance
5-10 Years
Customer Support > Insurance > Prior Authorization> Medical Billing
5-10 Years
Billing Operations
5-10 Years
Customer Service & Client Relations, Customer Inquiry Resolution,Task Coordination & Follow-Up, Problem Solving & Process Improvement,
5-10 Years
Human Resources > HR Management > Administrative Works > Operations Management
2-5 Years
Experience highlights
Manager - Revenue Operations
MedRisk Philippines Inc
·
July/2024
–
Present
Managed daily operations of assigned teams, ensuring production goals and SLAs for client billing TAT. Monitored production trends, proposed solutions, reported findings to Director of Billing Operations, and performed evaluations for direct reports.
Supervisor - Billing Operations
MedRisk Philippines Inc
·
March/2021
–
Present
Provided daily support and coaching to team members. Maintained TATs, assisted in QA, acted as liaison between team and management. Monitored workload fluctuations, ran reports, and performed bill processor duties as needed.
Medical Bill Processor I
MedRisk Philippines Inc
·
August/2020
–
Present
Reviewed bills for eligibility and compensability, validated data accuracy, made outbound calls to providers and clients. Performed admin tasks including generating reports, creating scorecards, and assisting with onboarding new hires.
Healthcare Analyst
Ubiquity Global Services
·
December/2019
–
Present
Analyzed claims for documentation and processing accuracy. Calculated payments per insurance and Medicare guidelines. Investigated claim denials, educated providers on appeals, and coordinated provider inquiries across multiple states.
Data Entry Officer
AS White Global
·
July/2018
–
Present
Ensured compensation calculations complied with labor legislation. Analyzed and verified data accuracy prior to system entry. Coordinated with claims teams to resolve discrepancies and processed payment invoices with high accuracy.
