John Edward Gendive
edwardgendive05@gmail.com
09683699020
PH
About Me
am well-developed and dependable professional with an experience of 2 years as Provider Customer Service Representative in the area of healthcare insurance. Good understanding in dealing with provider complaints, billing, denial, and claims. Possesses excellent communication and organization skills and able to perform administrative work in a virtual setting. Demonstrated capacity to respond to varied complex inquiries, multitask, and render appropriate customer service makes me suitable for remote business support type of arrangement and facilitating business processes.
Basic Information
Full Name
John Edward Gendive
Email Address
edwardgendive05@gmail.com
Phone
09683699020
Location
PH
Education
Education Completed
Bachelor Degree
Institution/School
One Cainta College
Field of Study
Entrepreneurship
Graduation Year
2023
Current Enrollment
Graduated
GPA/Grade
Certifications
Achievements
Work & Experience
Company Name 1
WNS
Job Title
Provider Customer Service
Start Date
05/21/2022
End Date
11/07/2023
Job Description
Assist providers with their claims. Handle back office works to resubmit claims that denied with errors.
Company Name 2
Cognizant
Job Title
Process Executive
Start Date
04/02/2024
End Date
12/27/2024
Job Description
Benefit Inquiry Assistance: Informed the providers with regard to different benefit inquiries in the services of medical, pharmacy, dental, vision, and durable medical equipment (DME).
Claim Denials and Payment Support: Helped and guided providers with issues of claim denials, payment queries, and billing details in the healthy manner in terms of timelines and accuracy.
Claims Archive Management: Momentarily retrieved and examined claims that are over two years of age in the archives seeking for ways of reprocessing or follow up.
Claims Reprocessing: Researched, conducted in-depth analysis and reprocessed claims with wrong denial codes to ensure correct adjudication.
Prior Authorization Assistance: Managed and directed the providers on how to go through the requirement and process of getting prior authorizations for different services.
Hourly Charge
Employment Type
Professional Skills
Technical Skills
Creative Skills
Business Skills
Communication