Current Employment Status:
Hired Full Time on Aug 31, 2021
Overview
Looking for gig work
at $10.00/hour
Bachelors degree
Last Active
April 19th, 2024 (5 days ago)
Member Since
July 27th, 2020
Profile Description
I am a Medical Claims Specialist with more than 8 years of expertise in both aspects of Claims: as a Biller and as a Payer; with hands-on scope in Claims Processing that includes but is not limited to commercial and government insurances (Medicare & Medicaid, BCBS, UHC), No-Fault and Liability (Workers Compensation, Auto), and others.
On top of that, I am a Cardiology Nurse-Case Manager who is clinically in-depth into handling patients' cases to make sure eligibility/medical necessity is met so patients can receive their treatments on-time; Furthermore, I have a strong background in Clinical Management and Pharmacology from which I obtained from a personal experience of working in a Tertiary Level Hospital.
If you need someone to cover Prior Authorization to Appeals, then I am the right person.
Top Skills
Customer Support
Office and Administration » Translation
Customer Support » Phone Support » English Speaking
Other Skills
Professional Services » Medical Services
Customer Support » Phone Support
Office and Administration » Transcription
Office and Administration » Data Entry
Marketing » Content Creation » Creative Writing
Marketing » Content Creation » Technical Writing
E-Commerce » Inventory Management » Quality Control
Customer Support » Email Support
Office and Administration » Microsoft Excel
Office and Administration » Email Management
Basic Information
- Age
- 42
- Gender
- Male
- Website
- Sign Up with Pro Account to View
- Address
- Quezon City, Metro Manila
- Tests Taken
- None
- Uploaded ID
- Sign Up with Pro Account to View
“I have found someone who is smart, has a great work ethic and is easy to work with.”
Sara Brumfield
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