Company Name 1
CORONIS HEALTH PHILIPPINES
Job Title
Medical Accounts Receivable Representative/Trainer 1
Job Description
Ensured the resolution of all assigned claims by meticulously managing the claims process from submission
to closure. Thoroughly reviewed claims denials, identifying the reasons for denial and taking appropriate actions for
resolution. Followed up on submitted claims to ensure timely processing and payment, maintaining close communication with payers. Collected payments, accurately posted adjustments, and reconciled accounts to reflect the correct balances. Submitted disputes and appeals for denied claims, providing necessary documentation and justification to secure favorable outcomes.
Promoted to Medical AR Trainer 1, demonstrating expertise in US Healthcare Basics and Revenue Cycle Management. Conducted comprehensive training sessions for new hires, covering foundational knowledge in US healthcare practices and processes. Specialized in training new hires on specific Accounts Receivable (AR) processes, ensuring they understood the intricacies of AR management. Developed and implemented training materials and programs tailored to the needs of AR operations within the healthcare industry. Provided ongoing support and coaching to new hires, reinforcing key concepts and ensuring their successful integration into the team. Collaborated with department managers to assess training needs and adjust programs to align with evolving business objectives. Monitored the progress of trainees, offering feedback and guidance to improve their performance and knowledge retention.
Company Name 2
IGRANT MARKETING SERVICES
Job Title
Customer Service Representative
Job Description
Introduced the company's business, products, and services to potential clients through strategic and
personalized phone calls. Engaged and nurtured potential clients by identifying their needs and aligning them with the company's offerings. Successfully set up appointments for the sales team by establishing rapport and demonstrating the value of meeting. Collaborated closely with the sales team to ensure a seamless handoff, leading to the gradual closing of sales with qualified leads.
Maintained comprehensive records of client interactions, follow-ups, and outcomes in the CRM system,
ensuring accurate tracking and reporting. Interacted with both members and healthcare providers to address inquiries related to benefits, eligibility, claims, and billing processes. Provided accurate and detailed information to members regarding their healthcare plans, ensuring they understood their coverage and options. Assisted providers in verifying member eligibility and resolving issues related to claims submissions and reimbursements. Managed and resolved billing inquiries by researching account details and coordinating with relevant departments. Maintained thorough documentation of all interactions, ensuring compliance with healthcare regulations and company policies.