JEFFERSON P. BALUBAR
Dasmariñas
Summary
- Computer Literate: MS Office/Internet Explorer/XP/Vista
- Typing Speed: 40 wpm
- Ability to organize, prioritize, multi task and work under extreme work pressure, heavy workloads and deadlines.
- Consistent, hardworking, highly motivated and friendly.
Overview
18
18
years of professional experience
Work History
Senior Client Partner\Senior Client Specialist
Access HealthCare
03.2014 - 09.2024
- Analyze claims before calling
- Checking green balance, outstanding cpt codes and claims history to be able to process the claims correctly
- Calling the insurance regarding the status of the claim if it is paid, still in process or denied
- Documenting all the information obtained from the insurance and sending it to the appropriate department for the claim to process further
- Sending appeals and reconsideration request for denied claims to be paid
- Promoted as POC, SME then Quality Assistant.
Revenue Cycle Analyst
IBM Philippines
10.2011 - 03.2014
- Analyze claims before calling
- Checking green balance, outstanding cpt codes and claims history to be able to process the claims correctly
- Calling the insurance regarding the status of the claim if it is paid, still in process or denied
- Documenting all the information obtained from the insurance and sending it to the appropriate department for the claim to process further
- Sending appeals and reconsideration request for denied claims to be paid.
Customer Service
Suteki Site Internet Café
12.2008 - 10.2011
- Typing Job and Research
- Basic trouble shooting
- Assisted Customers
Packaging Assistant
Euro-Med Laboratories
09.2006 - 02.2007
- Inspecting, labeling and packaging ampules.
Education
Bachelor of Science in Computer Science -
National College of Science And Technology
Skills
- Attention to details: As a claims tracking specialist, must identify the issue of the claim to resolve it
- Time Management: Manage time effectively to meet the target productivity
- HIPAA Compliance
- Computer Literate
- Team Work
- Active Listening
Primaryeducation
Dasmariñas Bagong Bayan Elem. School Area- E, June, 1992 to March 1998
Secondaryeducation
Dasmariñas West National High School, June, 1998 to March, 2002
Timeline
Senior Client Partner\Senior Client Specialist
Access HealthCare
03.2014 - 09.2024
Revenue Cycle Analyst
IBM Philippines
10.2011 - 03.2014
Customer Service
Suteki Site Internet Café
12.2008 - 10.2011
Packaging Assistant
Euro-Med Laboratories
09.2006 - 02.2007
Bachelor of Science in Computer Science -
National College of Science And Technology