Via Joy Bolivar
San Manuel
Summary
Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality.
Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level job position. Ready to help team achieve company goals. Meticulous Medical Records Clerk with 3- year history processing medical records requests while delivering highest quality customer service. Builds rapport with staff and patients to foster smooth and effective department operations. Strong knowledge of Release of Information policies and procedures and HIPAA regulations.
Overview
9
9
years of professional experience
Work History
Medical Records Analyst
Optum Global Solutions
Northgate Alabang
06.2019 - 03.2025
- Implemented a system for regularly reviewing and updating patient files to ensure the ongoing accuracy and relevance of medical information.
- Assisted in maintaining compliance with HIPAA regulations by diligently protecting patient privacy while handling sensitive information.
- Developed effective communication channels between healthcare providers and administrative staff to streamline workflows related to record keeping tasks.
- Successfully responded to requests from insurance companies, legal teams, and other external parties while maintaining strict adherence to privacy regulations and protocols.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Assisted in the development of internal policies related to record management, contributing to an environment of continuous improvement within the department.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Followed exact procedures for handling transfers and other releases of medical records.
Billing Representative
Optum Global Solutions
Northgate Alabang
06.2019 - 03.2025
- Monitored customer accounts to identify and rectify billing issues.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Created improved filing system to maintain secure client data.
- Identified payment trends and adjusted billing processes accordingly to retain customers.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Supported cash flow optimization efforts by timely reconciliation of bank statements against outstanding invoices.
- Utilized various software programs to process customer payments.
- Developed strong relationships with clients, fostering trust and confidence in the company''s billing procedures.
- Enhanced client satisfaction with prompt resolution of billing inquiries and disputes.
- Achieved consistent performance metrics targets by prioritizing tasks effectively amid fluctuating workloads.
- Collaborated with customers to resolve disputes.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Handled account payments and provided information regarding outstanding balances.
Eligibility Representative
Optum Global Solutions
Alabang Muntinlupa
06.2019 - 03.2025
- Built relationships with diverse stakeholders to achieve successful program implementation.
- Contributed positively to team culture by actively participating in collaborative problem-solving efforts.
- Assisted clients with accurate eligibility form, application and document completion.
- Utilized data-driven decision-making strategies to make informed recommendations on complex cases.
- Ensured timely resolution of discrepancies by conducting thorough research and documentation.
- Reduced errors in eligibility determinations through meticulous attention to detail and rigorous quality control measures.
- Managed high-volume caseloads while maintaining strict adherence to privacy regulations and confidentiality protocols.
- Communicated with people from various cultures and backgrounds on application process.
- Exceeded performance metrics consistently by accurately determining program eligibility within established timeframes.
- Established databases to track, analyze and automate eligibility application processes.
- Collaborated with team members to maintain accurate records and provide seamless service for applicants.
- Trained new Eligibility Representatives on best practices, contributing to overall team efficiency and success.
Technical Support Representative
Sykes Asia
Alabang Muntinlupa
02.2018 - 07.2018
- Strengthened relationships with key clients by providing consistent high-quality service, leading to increased account retention rates.
- Maintained a high level of expertise on company products, ensuring accurate information was provided to customers at all times.
- Delivered exceptional customer service by quickly addressing concerns and providing clear, concise explanations of technical solutions.
- Monitored system performance to identify potential issues.
- Broke down and evaluated user problems, using test scripts, personal expertise, and probing questions.
- Translated complex technical issues into digestible language for non-technical users.
- Collaborated with cross-functional teams to identify recurring issues, developing proactive solutions to minimize future occurrences.
- Assisted customers in identifying issues and explained solutions to restore service and functionality.
- Managed challenging customer situations with diplomacy and professionalism, often turning negative experiences into positive outcomes.
Customer Service Representative
TELUS International Philippines
Alabang Muntinlupa
08.2016 - 01.2018
- Participated in cross-functional initiatives aimed at enhancing overall business operations and customer satisfaction levels.
- Resolved associate, tool and service delivery issues revealed by statistical reports.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Responded to customer requests for products, services, and company information.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Increased efficiency and team productivity by promoting operational best practices.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Education
Bachelor of Applied Science in Information Technology - English
New Alabang Technical And Learning Institute
Alabang Muntinlupa 04.2001 -
Skills
Medical History Recording
undefinedTimeline
Medical Records Analyst
Optum Global Solutions
06.2019 - 03.2025
Billing Representative
Optum Global Solutions
06.2019 - 03.2025
Eligibility Representative
Optum Global Solutions
06.2019 - 03.2025
Technical Support Representative
Sykes Asia
02.2018 - 07.2018
Customer Service Representative
TELUS International Philippines
08.2016 - 01.2018
Bachelor of Applied Science in Information Technology - English
New Alabang Technical And Learning Institute
04.2001 -
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