Rosalinda Del Rosario Samaniego

Rosalinda Del Rosario Samaniego

$5/hr
Health Insurance Specialist
Reply rate:
-
Availability:
Hourly ($/hour)
Age:
46 years old
Location:
Pasig, NCR, Philippines
Experience:
10 years
ROSALINDA SAMANIEGO INTRODUCTION AND OBJECTIVES: I have spent most of my professional career in the BPO industry, now I am looking to try and learn other things. I decided to leave my BPO job and have been working from home for a year as an Account Resolution Specialist for a US Medical Billing Company. I have interests in writing, web design and I have been busy educating myself thru free online courses to enhance my skills. I like to read and take some Udemy free short courses as long as my schedule permits. I would often get positive customer feedback because of my patience, I am flexible enough to work with a team or individually, I am highly analytical and focus in providing the accurate but immediate resolution. I feel great getting the job done the right way. I ‘d say I’m really good at research and I can accomplish any tasks with minimum supervision as long as I receive proper training. I started working from home August of last year. PROFESSIONAL EXPERIENCE: Account Resolution Specialist from August 2018 to Present at Central Billing Bureau (homebased) -Creating patient records (Data Entry). -Post health insurance payments. -Review and resolve medical claim denials. -File/Submit written appeals for denied claims. -Take inbound calls from doctors/clients. Make outbound calls to insurance companies for claim resolution. US Health Care Associate from April 2010 to July 2018 at Hinduja Global Solutions - I have taken Inbound calls for medical claim inquiries, appeal inquiries, authorizations and benefits and /eligibility verification. - I provided resolution for claim denials, which includes denial and reimbursement research. Collection Representative from September 2009 to February 2010 at Transcom Worldwide - I take inbound calls for billing and collections for a US Cable Company, I am also responsible for reactivating account once payment is processed. US Health Care Associate from July 2007 to August 2009 at APAC Customer Services - I have taken Inbound calls for medical claim inquiries, appeal inquiries, authorizations and benefits and /eligibility verification. - I provided resolution for claim denials, which includes denial and reimbursement research. EDUCATION: Associates Degree in Computer Programming at AMA Computer Learning Center from June 1996 to April 1998. BASIC SKILLS: - Proficiency in MS Excel and Word - Fluent in both written and spoken English. - Date Entry skills. - Researching skills using the internet. - Basic medical claim coding.
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