DONALYN SABENECIO SULLIVAN
LAS PIÑAS CITY
Summary
To be able to find a job, where I can utilize and enhance my skills effectively as an efficient Accounts Receivable Specialist offering almost 4 years of experience in accounts receivable functions. Excellent knowledge of collection and claims procedures with strong communication skills utilized in resolving customer queries. Skilled in accurately preparing weekly and monthly reports within tight deadlines.
Overview
7
7
years of professional experience
Work History
Customer Solutions Agent
PayPal Philippines
09.2022 - 01.2023
- Opens customer accounts by validating the information they have registered on the account.
- Determining the cause of the customer’s problems by selecting and explaining the best solution to solve the problem.
- Serves customers by helping them resolving issues on their account, such as withdrawal of money, payment holds and restriction on the account.
- Following up to ensure resolution and helping them update or change information on their account.
Collections Representative
Optum Global Solutions
03.2019 - 09.2022
- Checks customers claim information if it has been paid correctly by the health insurance.
- Following up to health insurance companies regarding the status of a claim and how the claim was processed and asking to make adjustments if the claim got denied or underpaid.
- Submitting facility claims to health insurance via mail or electronically.
- Creating appeal and dispute letters that will be sent to health insurance.
- Managed high-volume collections processes, ensuring timely resolution of outstanding accounts.
- Utilized CRM systems to track customer interactions and maintain accurate account records.
- Analyzed account histories to identify discrepancies and resolved billing issues efficiently.
- Leveraged electronic health record systems to track payment statuses and update account information accurately.
- Managed a high volume of accounts, prioritizing those requiring immediate attention while consistently meeting performance targets.
- Streamlined medical billing procedures for increased efficiency and accuracy in the collections process.
- Ensured timely reimbursements by diligently researching insurance claims and negotiating settlements on behalf of providers.
- Monitored changes in healthcare regulations including HIPAA compliance standards, ensuring adherence throughout the Collections department''s activities.
- Maintained strict confidentiality of sensitive patient information in accordance with federal and state regulations, ensuring ethical collections practices.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Researched billing errors and discrepancies to initiate corrective action.
Customer Service Representative
Hinduja Global Solutions
07.2016 - 04.2018
- Serves customers by providing information regarding claims status and member's health coverage and benefits.
- Opens customer accounts by obtaining provider's information and member's information.
- Determining the cause of the problem; selecting and explaining the best solution to solve the problem.
- Following up to ensure resolution.
- Resolves product or service problems by clarifying the customer’s complaints such as claim status, denied claims, overpayment, and underpayment claims.
Department Secretary
Dutyfree Philippines Inc.
09.2015 - 08.2016
- Prepares administrative reports for the boss.
- Encodes data.
- Maintains and monitors calendar dates/appointments of the boss.
- Answers telephone calls
- Files documents
- Handles logbook to incoming and outgoing communications, memoranda, and other official documents at the office.
Education
Bachelor of Science - Business Administration, Financial Management
Dr. Filemon C. Aguilar Memorial College of LasPiñas (DFCAMC-LP)
04-2015
Web Development
Dr. Filemon C. Aguilar Information Technology Training Institute (DFCAITTI)
01.2009
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Las Piñas National High School (MAIN)
01.2008
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Las Piñas Elementary School (CENTRAL)
01.2004
Skills
- Skilled in Microsoft Office applications
- Effective team contributor
- Analytical research skills
- Adaptable learner
- Constructive problem solver
- Teamwork and collaboration
- Proficient in managing multiple tasks
- Strong attention to detail
- Prioritization and scheduling
- Comprehensive documentation expertise
- Accounts receivable management
- Efficient tracking using spreadsheets
- Strategic goal attainment
PERSONAL INFORMATION
Filipino and English
References
- Ara Maricar, Fruelda, Virtual Assistant, 09224861987
- Larraine Lysette, Sunga, Quality Analyst, 09128467970
Disclaimer
I hereby certify that all the information given above is true and correct.
Timeline
Customer Solutions Agent
PayPal Philippines
09.2022 - 01.2023
Collections Representative
Optum Global Solutions
03.2019 - 09.2022
Customer Service Representative
Hinduja Global Solutions
07.2016 - 04.2018
Department Secretary
Dutyfree Philippines Inc.
09.2015 - 08.2016
Web Development
Dr. Filemon C. Aguilar Information Technology Training Institute (DFCAITTI)
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Las Piñas National High School (MAIN)
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Las Piñas Elementary School (CENTRAL)
Bachelor of Science - Business Administration, Financial Management
Dr. Filemon C. Aguilar Memorial College of LasPiñas (DFCAMC-LP)
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