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.

years of professional experience

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.

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.

Suteki Site Internet Café

12.2008 - 10.2011

Euro-Med Laboratories

09.2006 - 02.2007

National College of Science And Technology

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

Dasmariñas Bagong Bayan Elem. School Area- E, June, 1992 to March 1998

Dasmariñas West National High School, June, 1998 to March, 2002