Summary
Overview
Work History
Education
Skills
References
Timeline
Generic
Angelica Villar

Angelica Villar

Dumaguete, Province Of Negros Oriental

Summary

Experienced Claim Specialist with 3+ years of experience in the insurance industry. Proven ability to accurately process insurance claims while ensuring HIPAA compliance. Exceptional attention to detail and time management skills led to improved claim accuracy and efficiency in a high-volume environment.

Overview

8
8
years of professional experience

Work History

Healthcare Claims Specialist

Transwolrd System Incorporated, PH
08.2021 - 12.2024
  • Successfully processed medical claims in a high-volume, fast-paced environment
  • Proficiency in using payer portals and handling insurance calls for eligibility, benefits, and claim status inquiries.
  • Managed 40-45 claims per day
  • Handle appeals and reconsiderations for denied claims.
  • Developed strong relationships with insurance providers, external partners such as legal counsel, and medical professionals to ensure accurate and timely claims processing.
  • Proficiency in understanding the authorization process, including peer-to-peer communication.
  • Utilized electronic medical records software to accurately process medical claims.
  • Conducted quality assurance reviews to ensure accuracy of entered data and to maintain HIPAA compliance

Market Research Interviewer

Dynata Global
06.2017 - 12.2020
  • Conducted remote surveys for various research studies, including projects for government agencies.
  • Documented interview results accurately in database systems.
  • Simultaneously listened and recorded verbal responses during interviews with precision to ensure data integrity.
  • Utilized automatic dialing systems to reach a broad audience for a survey application and utilized computer skills to manage and analyze survey data.
  • Maintained confidentiality of customer information and company procedures.
  • Improved overall response rates through rapport-building techniques, professionalism, and empathetic communication skills with respondents.
  • Managed approximately 40 surveys through the telephone.

Education

Bachelor of Arts - English Language And Literature

Surigao State College of Technology
Surigao City, Province Of Surigao Del Norte, Philippines
04-2017

Skills

  • Healthcare
  • Claims processing/management - Expert
  • Insurance Knowledge- Expert
  • Data Entry- Expert
  • Attention to detail- Expert
  • Time management- Expert
  • Customer Service Orientation
  • Microsoft Office Proficiency
  • Medical Claims Data

References

References available upon request.

Timeline

Healthcare Claims Specialist

Transwolrd System Incorporated, PH
08.2021 - 12.2024

Market Research Interviewer

Dynata Global
06.2017 - 12.2020

Bachelor of Arts - English Language And Literature

Surigao State College of Technology

Similar Profiles

CREATE PROFILE
Angelica Villar