Krizza Jan De Aquino
Health Insurance Verification Manager
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Pragmatic Insurance Verification Specialist touting 7 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
10
10
years of professional experience
Work History
Healthcare Insurance Verification Specialist
Foundever Inc.
09.2020 - Current
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Performed various administrative tasks by filing, copying and faxing documents.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Gained strong leadership skills by managing projects from start to finish.
- Proven ability to learn quickly and adapt to new situations.
- Proved successful working within tight deadlines and a fast-paced environment.
- Worked well in a team setting, providing support and guidance.
- Proven ability to develop and implement creative solutions to complex problems.
- Adaptable and proficient in learning new concepts quickly and efficiently.
ESL Tutor
SmartBridge Educational Services
10.2018 - 09.2020
- Managed classroom effectively by establishing routines, setting expectations, and maintaining discipline throughout lessons.
- Implemented creative teaching strategies tailored to various learning styles to maximize student comprehension and retention of material.
- Assessed student learning needs and provided relevant instruction to close knowledge gaps.
Healthcare Customer Service Representative
Convergys
10.2014 - 04.2017
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Providing excellent customer service by promptly answering provider inquiries.
- Delivered exceptional support during high call volume periods by maintaining composure and professionalism under pressure.
- Assisted in training new hires, sharing best practices in customer service protocols specific to the healthcare industry.
Education
Bachelor of Science - Business Administration And Management
Lanao School of Science And Technology Inc.
Lala, Lanao Del Norte 04.2001 -
Bachelor of Science - Nursing
Mindanao Sanitarium Hospital And Colleges
Iligan, Province Of Lanao Del Norte, Philippines 04.2001 -
Skills
Healthcare Industry Knowledge
HIPAA Compliance
Insurance Verification
Interpersonal Skills
Adaptable and Flexible
Collaboration and Teamwork
Workflow Development
Eligibility Determination
Analytical Thinking
Analytical Thinking
Timeline
Healthcare Insurance Verification Specialist
Foundever Inc.
09.2020 - Current
ESL Tutor
SmartBridge Educational Services
10.2018 - 09.2020
Healthcare Customer Service Representative
Convergys
10.2014 - 04.2017
Bachelor of Science - Business Administration And Management
Lanao School of Science And Technology Inc.
04.2001 -
Bachelor of Science - Nursing
Mindanao Sanitarium Hospital And Colleges
04.2001 -