009484d9b cde2 08180fd

Online English Teacher, Medical Insurance Claims Specialist

0 ID PROOF
Timeproof:
EXPECTED SALARY
Php 40,000.00/month
( $781 USD )
EDUCATIONAL ATTAINMENT
Bachelors degree
AVAILABILITY
40 hrs/wk
( $4.52 USD/hr )
EXPERIENCE OVERVIEW
3 years in a BPO Company as a Resolution SpecialistOnline English TeacherLead Generation and Social Media Marketing
BASIC INFORMATION
Age:
32
Gender:
Female
Tests Taken:

DISC
Dominance:0
Influence:0
Steadiness:0
Compliance:0

Last Active:
2022-02-22
Member Since:
2018-01-31
SKILL SUMMARY

I have been working as a Financial Analyst in a BPO company for 3 years. As a Financial Analyst, we are required to Identify, Research and Resolve the customer's issue effectively. I also worked as an online English Teacher wherein, I am teaching English as a second language to Chinese students. I am currently working as a Medical Insurance Claims Specialist for 3 years. I'm handling 3 different Ambulatory Surgical Facilities. My job is to ensure that all claims are being paid correctly. I also handle disputes and appeals for incorrectly denied claims, like if there is an authorization issue,medical necessity denial, timely filing, incorrect billing of procedure and diagnosis codes. I also do insurance verification and coordinating issues between the patient the facility and the insurance company.

The key strength that I possess is Excellent organizational, interpersonal, communication and coordination skills with the flexibility required to remain highly focused in fast-paced, demanding environment.  I also have the ability to work on minimal supervision. I am a critical thinker, I can quickly learn new systems and produce significant contributions.
I am creative and an extremely motivated person. I am hardworking, diligent, highly organized, detail oriented and goal-oriented. I can easily respond to altered circumstances required by the task that you will provide me.


WORKER SKILLS
TOP SKILLS
  • Data Entry
  • Email Management
  • Research
  • Travel Planning
  • Speaking
  • Customer Support
  • Email Support

Office & Admin (Virtual Assistant)
EXPERIENCE

I have 3 years of experience as a Resolution Specialist in a BPO company. As a resolution specialist it is my job to do the ff task: •Identifying, researching and resolving customers issues effectively. • Documenting relevant information in the appropriate systems. • Engaging other Departments for assistance as necessary. • Keeping the customer informed of the status/progress via all available methods including phone, email and mail correspondence. • Confirming resolution with the customer. • Handles and Monitors the Customer lease contracts. • Assist customers with their Pre-sales and Post sales inquiries and Billing concerns. I am currently working as a Medical Insurance Claims Specialist for 3 years. I'm handling 3 different Ambulatory Surgical Facilities. My job is to ensure that all claims are being paid correctly. I also handle disputes and appeals for incorrectly denied claims, like if there is an authorization issue,medical necessity denial, timely filing, incorrect billing of procedure and diagnosis codes. I also do insurance verification and coordinating issues between the patient the facility and the insurance company.

SKILL RATING
  • Admin Assistant
  • Data Entry
  • Email Management
  • Event Planner
  • Excel
  • Quality Assurance
  • Research
  • Transcription
  • Travel Planning

English
EXPERIENCE

I am required to use the English language in my previous job as we are always speaking directly to our customers from the United States of America. and we have our scheduled meeting weekly with our clients based in Texas. I am currently working as an online English Teacher wherein, I am teaching English as a second language to my Chinese students.

SKILL RATING
  • Speaking
  • Translation
  • Writing

Finance & Management
EXPERIENCE

I am handling a Financial Account from my 3 years BPO experience. I have a back ground with Financial Management because it is my job to assist our customers regarding their billing concerns, their lease contracts to provide them an update every month or quarterly as needed with regards their payments,contracts and lease options with our company.

SKILL RATING
  • Accounting
  • Financial Analysis

Customer Service & Admin Support
EXPERIENCE

I have 3 years experience with Customer Service and Admin Support my job Identifying, researching and resolving customers issues effectively. Documenting relevant information in the appropriate systems. Engaging other Departments for assistance as necessary. Keeping the customer informed of the status/progress via all available methods including phone, email and mail correspondence. Confirming resolution with the customer. Handles and Monitors the Customer lease contracts. Assist customers with their Pre-sales and Post sales inquiries.

SKILL RATING
  • Customer Support
  • Email Support
  • Tech Support

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