Talent Headshot
Roberto Chua Jr
chua111181@gmail.com
09673862570
PH
About Me
I offer a total of 13 years of experience in the Business Process Outsourcing (BPO) sector, including 5 years as a Provider Service Advocate for a healthcare account, where I specialized in inbound and outbound calls, chat support, and technical assistance. My key competencies include efficient issue resolution, comprehensive product knowledge, and familiarity with operational processes. In addition, I have 2 years of experience assisting customers with internet, fiber, and TV services. During this time, I developed proficiency in troubleshooting complex technical issues and guiding non-technical customers through various service setups, which enhanced my problem-solving abilities and emphasized the importance of clear communication. Furthermore, I bring more than 5 years of managerial experience in overseeing security agencies, human relations, and administrative functions. My responsibilities included client coordination and incident investigations. I possess strong leadership skills and expertise in conducting site security surveys, allowing me to foster a collaborative team environment by leading by example.
Basic Information
Full Name
Roberto Chua Jr
Email Address
chua111181@gmail.com
Phone
09673862570
Location
PH
Education
Education Completed
High School
Institution/School
Field of Study
Graduation Year
Current Enrollment
Graduated
GPA/Grade
Certifications
Achievements
Work & Experience
Company Name 1
Concentrix
Job Title
Provider Service Advocate
Start Date
06/06/2019
End Date
04/06/2024
Job Description
• Confirm coverage and work with private payers, commercial payers, Medicaid, and Medicare for reimbursement of provide medical services. • Research medical records, compliance requirements and explanations of benefits to resolve accounts payable for Medicare, Medicaid and commercial insurance. • Maintain strict confidentiality/privacy of patients protect health information in accordance with HIPAA regulations. • Assist with special reports of tracking problem medical claims according to HIPPA guidelines. • Adhere to strict HIPAA guidelines for handling and processing sensitive information within these claims. • Review documentation, analyze reject claim data, justify CPT & HCPCS codes and pay HCFA-1500 and UB92 claims. • Review and resolve claim appeal according to policy guidelines. • Resubmitted correct claims and appeals to insurance companies within timely filing. • Verify documents and coordinate health care coverage for patients, including eligibility of benefits.
Company Name 2
Quantrics
Job Title
Technical Support
Start Date
05/06/2018
End Date
15/01/2019
Job Description
provide technical assistance and answers to user’s questions, assisting users by troubleshooting problems with computer hardware or software.
Hourly Charge
Employment Type
Professional Skills
Technical Skills
Machine Learning & AI
Creative Skills
Video Editing | Photography
Business Skills
Digital Marketing | Sales & Lead Generation | Customer Relationship Management (CRM)
Communication