Hi, I’m
Katherine Ng Chua
Medical Biller
Malabon City, Metro Manila
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
10
years of professional experience
8
years of post-secondary education
1
Certification
3
Languages
Work History
Manulife Business Processing ServicesDiliman, Quezon City
MEDICAL CLAIMS ADJUDICATOR ASSOCIATE II
03.2010 - 11.2017
Job overview
- Processing outpatient medical claims including overseas claims
- Subject Matter Expert on all outpatient claims functions.
- Verified patient insurance coverage and benefits for medical claims.
- Researched and resolved complex medical claims issues to support timely processing.
- Identified and resolved discrepancies between patient information and claims data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Manulife Business Processing ServicesDiliman, Quezon City
BACK-UP QUALITY ANALYST
09.2015 - 12.2015
Job overview
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Developed and maintained quality assurance procedure documentation.
- Created and revised procedures, checklists and job aids to reduce errors.
AccentureMandaluyong
MEDICAL CLAIMS PROCESSOR
05.2009 - 11.2009
Job overview
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Analyzed and processed health insurance claims including review and reprocessed of error claims.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Rizal Commercial Banking CorporationManila
DIVISION SECRETARY
04.2008 - 08.2008
Job overview
- Assisted account officer on executing daily bank transactions such as phone interaction with clients, record keeping of insurance and appraisal reports, monitoring foreign exchange
- Provided clerical support to company employees by copying, faxing, and filing documents.
Education
University of Santo TomasManila, Philippines
Bachelor of Arts from ASIAN STUDIES
06.2004 - 03.2008
Grace Christian CollegeQuezon City, Philippines
High School Diploma
06.2000 - 03.2004
Grace Christian CollegeQuezon City, Philippines
Elementary Education
04.2001 - 03.2000
Skills
Computer Skills
Certification
December 2012 PASSER of N5 Japanese Language Proficiency Test (JLPT)
Trainings
February 2012 – April 2014 Nihonggo Centre Foundation Inc.
The Philippines-Japan Friendship Center-Manila
825 Ricardo Papa Street, Sampaloc, Manila
October 2008 – Dec. 2008 American Academy for Medical Transcription
1705 The Centerpoint Bldg., Julia Vargas St., cor. Garnet Road, Ortigas Center, Pasig City
Timeline
BACK-UP QUALITY ANALYST
Manulife Business Processing Services
09.2015 - 12.2015
MEDICAL CLAIMS ADJUDICATOR ASSOCIATE II
Manulife Business Processing Services
03.2010 - 11.2017
MEDICAL CLAIMS PROCESSOR
Accenture
05.2009 - 11.2009
DIVISION SECRETARY
Rizal Commercial Banking Corporation
04.2008 - 08.2008
University of Santo Tomas
Bachelor of Arts from ASIAN STUDIES
06.2004 - 03.2008
Grace Christian College
Elementary Education
04.2001 - 03.2000
Grace Christian College
High School Diploma
06.2000 - 03.2004
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