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
Microsoft Office
Medical Coding
Medical Billing
Attention to detail
Processing medical claims
Medical insurance knowledge
Insurance claims and denial processes
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