Processing claims, billing claims, checking what modifier or CPT needed to billed the claim, splitting claim, checking medical records, checking eligibility of patient
Health Care Account
Legato Health Technologies
Customer Service Rep 2, Benefits and claim Specialist
08.2019 - 03.2021
Job overview
Providing information for the Benefit Plan covered, Claim status, Claim denials, follow up Medical Records and progress notes, Checking Appeal, Providing Authorization status
Health Care Account
HCL Technologies
Biller (LOB) Suspended Billing Department
01.2017 - 07.2019
Job overview
Monitoring, Validation and Processing of Documents, Open Balance, Advising both patient and Doctor’s office the needed documentation to process their Sleep Machine (CPAP- Medical Device) and also for follow up and Insurance verification
Health care Account
Gerry’s Grill
09.2016 - 01.2017
Job overview
Part times job with bar/resto
Expert Global Solutions
Customer Service Representative 1
03.2016 - 09.2016
Job overview
Upselling, credit card application, billings, total amount due, minimum amount due and purchase Installment process
Formerly known as ALORICA (Financial Account)
Culasa Bake shop
08.2015 - 02.2016
Job overview
Promoting and Selling cakes, pastries homemade product
Grand Sphere Realty Corporation
05.2013 - 06.2015
Job overview
Promoting and posting ads on different sites, Marketing and Sales
Accredited Broker of SMDC
Education
Emilio Aguinaldo College
UN Taft Avenue
Bachelor of Science from Criminology
01-2013
Colegio De San Gabriel Arcanghel
Highschool
01-2009
Skills
Invoice reconciliation
Data entry proficiency
Payment tracking
File management
Dispute resolution
Financial management
References
Ken Hensley, Ciego, Team Leader, 0977 092 4637, HCI Technologies
Jam, Collado, 09187818420, HCL Technologies
Maricar, Yuga, 09563461908, Legato Health Technologies
Maridan, Ricafrente, 0966 863 4478, Optum
Mc Angelo, Malasigan, 0927 244 7203, Optum
Disclaimer
I hereby certify that the above information are true and correct CAMINONG LEMURIA O.
Timeline
Biller / Collection Representative 2
Optum Global Solutions
03.2021 - Current
Customer Service Rep 2, Benefits and claim Specialist