John Vincent Torrado
Healthcare Revenue Cycle Specialist
Taguig, Metro Manila,00
Summary
Healthcare professional with over four years of experience supporting US healthcare accounts across customer service, medical claims analysis, and revenue cycle operations. Proven background in claims review, credit balance and refund processing, denial resolution, and provider support. Detail-oriented, compliant with HIPAA standards, and experienced in working with billing systems, payer portals, and data tracking tools. Adept at managing high-volume workloads while maintaining accuracy, quality, and strong communication.
Overview
7
7
years of professional experience
Work History
Credit Balance Analyst
Optum, UnitedHealth Group
10.2024 - Current
- Managed patient and insurance credit balances and processed refunds in compliance with US healthcare regulations.
- Researched overpayments and coordinated with payers and internal teams to resolve discrepancies.
- Maintained accurate documentation while meeting productivity and quality standards.
Medical Claims Analyst
Med-Metrix
08.2023 - 10.2024
- Analyzed medical claims, denials, and underpayments to ensure accurate reimbursement.
- Resolved claim discrepancies through payer follow-ups and detailed account research.
- Maintained compliance with US healthcare billing regulations and quality standards.
Customer Care Representative
Carelon Global Solutions, Inc.
02.2021 - 08.2023
- Provided high-quality customer support to Providers via phone and chat in a US healthcare environment.
- Addressed inquiries related to benefits, eligibility, claims status, authorizations, and general healthcare services.
- Delivered accurate, compliant, and customer-focused support while meeting quality and productivity targets.
- Handled and supported a team after being promoted as SME (Subject Matter Expert) and OEI (Operations Expert Intern).
Sales Assistant
Alveo Land
07.2019 - 10.2020
- Provided administrative and client support to the sales team in real estate transactions.
- Managed client records, sales documentation, and coordination with internal stakeholders.
Education
Bachelor of Science - Business Management
Taguig City University
Taguig, Metro Manila, Philippines 04.2001 -
Skills
Medical Claims Analysis
Credit Balance & Refund Processing
Healthcare Accounts Receivable (AR)
Denial Management & Resolution
EOB & Remittance Analysis
HIPAA Compliance
Data & Account Research
Payer & Provider Coordination
Microsoft Excel & Google Sheets
CRM & Healthcare Billing Systems
Accurate Documentation & Reporting
Time Management & Attention to Detail
Timeline
Credit Balance Analyst
Optum, UnitedHealth Group
10.2024 - Current
Medical Claims Analyst
Med-Metrix
08.2023 - 10.2024
Customer Care Representative
Carelon Global Solutions, Inc.
02.2021 - 08.2023
Sales Assistant
Alveo Land
07.2019 - 10.2020
Bachelor of Science - Business Management
Taguig City University
04.2001 -