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BSN,RN/CSR/Medical Biller/QA/Team Leader/Real Estate

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EXPECTED SALARY
Php 70,000.00/month
( $1,217 USD )
EDUCATIONAL ATTAINMENT
Bachelors degree
AVAILABILITY
40 hrs/wk
( $7.03 USD/hr )
EXPERIENCE OVERVIEW
BSN, RN / Medical Biller / QA / Team Leader / Real Estate
BASIC INFORMATION
Age:
33
Gender:
Male
Location:
LAS PINAS
Tests Taken:
IQ
Score:  125

DISC
Dominance:33%
Influence:29%
Steadiness:21%
Compliance:17%

English
 C1(Advanced)
Last Active:
August 18th, 2022 (43 days ago)
Member Since:
February 21st, 2022
SKILL SUMMARY

Operations Team Leader - Medical Billing DepartmentWorldSource, A Pettigrew Company - MuntinlupaMay 2021 to March 2022 (10 mos)Projects:1. Apollo MD (Athena health Net for ER - Emergency Visits)2. Hana Health (Athena health Net for Family Practice & Behavioral)• Data Entry, Claim Submission, Eligibility, Pre-Authorization, Referral, Accounts Receivable Follow-ups, Denial Management, Patient AR, Payment Posting.• Gather data related to Medical Billing / Revenue Cycle Management and use this data to prepare reports and analyses of which processes are working and which can be improved.• Work closely with new teaUpgrade to see actual infombers to instruct them on company policies and best practices for resolving RCM concerns.• Monitor new teaUpgrade to see actual infombers’ activities and performance during the first few weeks of training and onboarding to determine where further training is needed.• Manage & Lead a team of department associates & coordinate with them.• Conduct coaching/counseling (Both Subject-specific and Holistic approaches)• Responds to a high volume of email-related inquiries and requests associated with the project.• Escalate issues jeopardizing quality and deadlines and interact with affected management to negotiate a resolution.• Forecast volume and plan tasks ahead to avoid overtime.• Conducts spot-checking audit (Tier 2 audit) of teaUpgrade to see actual infombers.• Assist in providing year-end audit information and other duties as assigned.• Review and Resolve Escalations• Evaluate TeaUpgrade to see actual infombers. Monitor associate's performance and note areas for improvement and meet directly with the teaUpgrade to see actual infomber to discuss their performance and coach them.• Make recommendations to the Immediate Lead & HR department if an associate is consistently not meeting expectations.Quality Assurance Specialist - Medical Billing DepartmentWorldSource, A Pettigrew Company - MuntinlupaMay 2019 to May 2021 (2 years and 3 months)Projects:1. Apollo MD (Athena Health Net) ER (Emergency Visits)2. Apollo MD (Athena Health Net) HM (Hospitalist –Inpatient)3. Apollo MD (Athena Health Net) EDI Analyst• Eligibility, EDI (Mapping), Accounts Receivable Follow-ups, and Denial Management.• Audits review on specific performance metrics.• I identify the best way to evaluate performance by recognizing challenges and finding solutions to increase its effectiveness. This happens every month during the monthly business review of the performance.• Stays up to date on Medical Billing Procedures then updates the Operation Team through email splash and orientation.• Educate Medical Billers to ensure high QA scores through refreshers, bi-monthly coaching sessions, and training.• I also provide additional assistance on production only when necessary.• Performs other tasks assigned by the Senior Quality or Revenue Manager like special Upgrade to see actual infodical Biller - Medical Billing DepartmentWorldSource, A Pettigrew Company - MuntinlupaSeptember 2018 to March 2019 (7 months)Projects:1. Apollo MD (Athena Health Net) ER (Emergency Visits)2. Apollo MD (Athena Health Net) HM (Hospitalist –Inpatient)• Collected delinquent accounts by establishing payment agreements with patients, monitoring payments, and also follow-up with patients when/if payment lapses occur.• If needed, work with collection agencies and small claims courts to collect on delinquent accounts.• Maintaining Medicare bad-debt cost by tracking billings; monitoring collections and compiling information.• Regularly initiate claims against estates by monitoring deaths and unpaid accounts.• Secured outstanding balance payments for care of hospital employees by establishing payroll deductions; obtaining signatures for automatic transfers.Customer Voice Service Representative and Subject Matter Expert for Transaction Services Specialist for Escrow Payoff Title Commercial PropertiesADEC Innovations, First American Title - MuntinlupaJuly 2013 to October 2018 (5 years and 4 months)• Handling inbound-outbound calls to US Banks, Private Beneficiaries, and other Financial Institutions, US towns, counties, courts, and cities, IRS, Utility Companies, and Management Companies that handle HOAs. This is for requesting and following up on NHD Reports (Natural Hazard Disclosure), Payoff Demand Statements (such as Liens, Utilities, HOA documents, and Demands).• Responsible for seamless communication between the customers, onshore team, and business affiliates based in the USA to address their needs.• Answered and made phone calls with questions and concerns with payoff statements and invoices/bills.• Answered highly escalated calls/emails from clients and/or customers.• SME (Subject Matter Expert) - who trained, handled side-by-side calls (buddy up) and evaluated new hires.• Responsible for improving customer and quality service of the team that includes training, coaching, audit, process improvement, documentation, and some administrative work.• Clients always involve me whenever there is a new process to learn, before rolling it out to the team.• Point of Contact Person, whenever my superior is on leave or Upgrade to see actual infocalation/Supervisor/Tier 2 SpecialistGenpact - MuntinlupaDecember 2011 - March 2013 (1 year and 4 months)Green Dot – Prepaid Debit Account• Answered highly escalated calls, mostly irate customers.• Accurately discussed the debit/credit transactions of the customer.• Handled disputes and delinquent accounts of the customer.Customer Service Representative / Technical Support RepresentativeCONVERGYS PHILIPPINES ALABANG - AlabangJune 2011 to December 2011AT&T Account• Answered highly escalated calls, mostly irate customers.• Accurately discussed the debit/credit transactions of the customer.• Handled disputes and delinquent accounts of the customer.Staff Registered Nurse Bicol Medical Center - NagaOctober 2010 to April 2011• Pediatric Ward and Pediatric Intensive Care Unit.

WORKER SKILLS
TOP SKILLS
  • Admin Assistant
  • Data Entry
  • Email Management
  • Event Planner
  • Personal Assistant
  • Project Coordinator
  • Quality Assurance
  • Speaking
  • Translation
  • Writing
  • Customer Support
  • Email Support
  • Phone Support
  • Medical Services
  • Real Estate Services
  • Other Project Management

Office & Admin (Virtual Assistant)
SKILL RATING
  • Admin Assistant
  • Data Entry
  • Email Management
  • Event Planner
  • Excel
  • Personal Assistant
  • Project Coordinator
  • Quality Assurance
  • Travel Planning

English
SKILL RATING
  • Speaking
  • Translation
  • Writing

Customer Service & Admin Support
SKILL RATING
  • Customer Support
  • Email Support
  • Phone Support

Professional Services
SKILL RATING
  • Medical Services
  • Real Estate Services

Project Management
SKILL RATING
  • Other Project Management

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