Geraldine Geronimo

Geraldine Geronimo Contact Details: (- |- E mail:-91 Tabang Road, Barangay Tabang, Guiguinto, Bulacan Work Experience: Oct 2015 – August 2018 2 years and 10 months Claims AR Representative Alere - Abbott Philippines Inc. National Capital Region, Philippines Industry Healthcare / Medical Specialization- Revenue Cycle Monthly Salary PHP 28,000 Job Description: Basic Review Accounts receivables/Claim status Conduct charge adjustments for billing Reviews denied claims, and do necessary corrections Analyse errors in billing. Review Benefits and Eligibility of patient in relation to claims Call insurance companies for denial clarification, billing, claim reconsiderations, appeals, etc. Reply to all email correspondent task Able to perform all revenue cycle tasks Knowledge of icd 9/ icd 10 and Cpt codes Medical policies Electronic and paper billing submission Knowledge of Medicare, Medicaid and Commercial policies Mar 2010 - Jul 2015 5 years 5 months Custom Representative/Member Services Expert Global Services National Capital Region, Philippines Industry Call Centre / BPO Specialization- Healthcare Job Description: Benefits and Claims for Medicaid and Bluecard services Provider COB information update Primary Care physician update Review medical claims for Professional and Facility Mar 2010 - Jul 2015 5 years 5 months Custom Representative/Provider Services Expert Global Services formerly APAC Industry Call Centre / BPO Specialization- Healthcare Job Description: Provide Benefits and eligibility information to medical professionals. Claims investigations Escalate claims and benefits issues to the correct dept. Complete service request inquiries in a timely manner as per client requirements. Review medical coding submitted by providers. Provide accurate information regarding a particular denial and how to resolve the issue. Knowledge of Medical policies related to certain procedures submitted Claims Adjustment Knowledge of CPT/ ICD 9 codes Apr 2009 - Mar 2010 1 year Billing /Technical service Representative / Customer Service Role Customer Service Stream Global Services National Capital Region, Philippine Industry Call Centre / IT-Enabled Services / BPO Specialization Job Description: Provide Tier 1 trouble shooting steps to customers. Billing interpretation and adjustments. Product upselling. Arrange schedule of tech hub team to provide technical assistance and installation of equipment. Aug 2007 - Mar 2009 1 year 8 months Customer Service Representative (CSR) APAC Customer Services Inc. Industry Call Centre (now Alorica) National Capital Region, Philippine Industry Call Centre/BPO Specialization Customer Service Role Customer Service Job Description: Provide healthcare providers (i.e. doctors, specialist, and nurses) re: benefits and eligibility of members conduct claims investigations re: processed claims to providers Analyse and provide appropriate resolutions denied claims, pending claims and appeals Interpretation of healthcare member contracts/policy for healthcare providers Work in close coordination with other departments re various issues of providers Skills Customer Service Telephone Handling E Mail Management Working on Spread sheets Email Correspondence Revenue Cycle Computer Literate, Use of MSOffice Word, Outlook, Excel Accounts Receivable Management Insurance Consultancy Healthcare Insurance Coverage Analysis Medical Billing Medical Devices Administrative Support Electronic/Manual Claims Submission Training/ Certifications HIPAA Certification PHI Law Tefra/Defra Law Medicare/Medicaid Guidelines Education: Bachelor of Arts, Major in Mass Communications Saint Joseph’s College, Quezon City