Jerry Maniacup
City Of San Fernando, Pampanga
Summary
Accomplished Patient Service Representative with a proven track record at Healthscope Specialist Offshoring/Adapthealth, excelling in HIPAA compliance and customer service. Demonstrated expertise in insurance verification and resolving complex billing issues, enhancing patient satisfaction and loyalty. Skilled in conflict resolution, ensuring professional and empathetic customer interactions.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Patient Service Representative
Healthscope Specialist Offshoring/Adapthealth
12.2019 - 02.2025
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Developed and maintained working knowledge of current HME(Home Medical Equipment) products and services offered by the company and all applicable insurance guidelines respecting eligibility for coverage and reimbursement.
- Demonstrated ability to identify different claim types (e.g. INN/ONN).
- Investigated any billing issues patients have whether that is insurance or self pay related.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Handled customer service inquiries in person, via telephone and through email.
Offline Service Specialist 2
Western Union Services(Phils), Inc.
01.2013 - 09.2019
- Primary responsible in managing Non-Payment Claims and Fraud for the AROC Call Center.
- Assisted Support Specialists in POP(Purpose, Outcome, Process) process and any subsequent NPC claims.
- Record, review and escalate fraudulent claims relating to consumer fraud.
- Ensured fraud related tickets are followed up/closed.
Customer Service and Problem Resolution Rep
Convergys Phils. Svcs.
11.2010 - 12.2012
- Technical Support rep for Comcast High Speed Internet and Cable TV.
- Interacted with customers via chat support to provide information and to address inquiries regarding products, services and technical support in a timely manner.
- Streamlined processes for efficient issue resolution, reducing average chat duration.
- Collaborated with team members to identify root causes of recurring issues and develop long-term solutions.
- Maintained detailed records of customer interactions, contributing to accurate trend analysis and data-driven improvements.
- Ensured compliance with company policies and procedures during all interactions with customers and colleagues.
Customer Service Representative (Metro PCS)
IQor
09.2009 - 10.2010
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Assistant Project Architect
RJGM Design and Construct
01.1995 - 08.2009
- Conducted site visits to monitor progress, identify potential issues, and recommend corrective actions when necessary.
- Developed innovative design concepts that enhanced the visual appeal of completed buildings.
- Presented detailed project proposals to clients, addressing concerns and securing approval for projects.
- Delivered high-quality architectural designs for various projects, ensuring client satisfaction and repeat business.
Education
Bachelor Of Science In Architecture - Major in Architectural Design
10.1994
Skills
- Customer service
- HIPAA compliance
- Insurance verification
- Insurance verifying
- Patient confidentiality
- Office administration
- Conflict resolution
- Medical billing
Certification
HIPAA Certified
Timeline
Patient Service Representative - Healthscope Specialist Offshoring/Adapthealth
12.2019 - 02.2025
Offline Service Specialist 2 - Western Union Services(Phils), Inc.
01.2013 - 09.2019
Customer Service and Problem Resolution Rep - Convergys Phils. Svcs.
11.2010 - 12.2012
Customer Service Representative (Metro PCS) - IQor
09.2009 - 10.2010
Assistant Project Architect - RJGM Design and Construct
01.1995 - 08.2009
University of The Assumption - Bachelor Of Science In Architecture, Major in Architectural Design
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