Ma.

Healthcare Operations & Escalations Expert | Billing, Claims, Medical & Clinical

45 ID PROOF
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Overview

Looking for full-time work (8 hours/day)

at $4.99/hour ($960.00/month)

Bachelor's degree

Last Active

June 8th, 2026 (20 days ago)

Member Since

August 14th, 2025

Profile Description

A motivated and detail-oriented professional with experience in Medical field in BPO
Industry. Skilled in claims and billing process with a proven ability to handled the end-to-end cycle, including verifying patient eligibility, processing claims, and ensuring accurate
coding and documentation for timely submission maintaining accuracy and excellent
communication with both providers and patients. Seeking opportunities to contribute
expertise and grow within a dynamic organization.

With a strong background in the BPO industry, I’ve developed excellent communication skills, attention to detail, and the ability to work efficiently under pressure. I am experienced in handling customer inquiries, managing data, and delivering quality service in fast-paced environments. As an aspiring Virtual Assistant, I aim to apply these skills to provide reliable, organized, and client-focused support, helping businesses run smoothly and effectively. 

Top Skills

billing processes, including claims submission, payment posting, denial follow-ups, and insurance verification.

I have developed strong medical knowledge in my BPO career, particularly in understanding medical terminology, healthcare procedures, insurance policies, and claims processes, enabling me to assist clients accurately and confidently.

Other Skills

Experience: 2 - 5 years

I have experience processing and reviewing claims in a BPO environment, ensuring accuracy, compliance with policies, and timely resolution while maintaining high productivity and quality standards.

I have experience in medical billing within a BPO healthcare account, including claim creation, payment posting, denial management, and coordination with insurance providers to ensure accurate and timely reimbursements.

Experience: 2 - 5 years

I have experience handling prior authorization requests in a BPO healthcare setting, ensuring accurate review of medical necessity, compliance with insurance guidelines, and timely communication with providers and members.

I have experience in credentialing processes within a BPO healthcare account, including verifying provider qualifications, maintaining accurate records, and ensuring compliance with regulatory and organizational standards.

Basic Information

Age
23
Gender
Female
Website
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Address
Lapu-Lapu City, Central Visayas (Region VII)
Tests Taken
IQ
Score:  137
DISC
Dominance: 31
Influence: 8
Steadiness: 45
Compliance: 16
English
C2(Advanced/Mastery)
Government ID
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