Healthcare Billing Claims Specialist | Insurance Verification
Philippines
I am writing to express my interest in any suitable position at your esteemed organization. My name is Jonh Henry Samar, I am 30 years old, and I have experience working in office settings, as well as four years of experience in the BPO industry. In my role, I have handled international accounts related to health insurance, booking services, and billing inquiries. This experience has equipped me with valuable skills in customer service, communication, and problem-solving. I graduated with a Bachelor's degree in Secondary Education, which has helped me develop strong organizational skills and the ability to manage tasks efficiently. I am highly involved in sports and other interactive activities, which have strengthened my teamwork and leadership abilities. Additionally, I am confident in my ability to work under minimal supervision and am always eager to take on new challenges. I am confident that my diverse background, combined with my enthusiasm and ability to adapt, would make me a valuable asset to your team. I am eager to contribute to your company and would welcome the opportunity to discuss how my skills and experience align with your needs. Thank you for considering my application. I look forward to the possibility of an interview to further discuss how I can contribute to your organization.
Conentrix
Apr 2020 to Aug 2023
Duties & Responsibilities: Handled inbound and outbound calls assisting members and providers with health insurance claims and benefits inquiries. Verified member eligibility, coverage details, and plan benefits. Explained claim status, payment details, deductibles, co-pays, and out-of-pocket expenses. Reviewed and interpreted Explanation of Benefits (EOB) statements. Assisted with claims follow-up, corrections, and dispute resolution. Initiated and processed prior authorization requests when required. Documented all interactions accurately in CRM and claims management systems. Coordinated with internal departments to resolve denied or pending claims. Provided guidance on appeals process and required documentation. Ensured compliance with HIPAA and data privacy regulations. Maintained service level agreements (SLAs), quality standards, and productivity targets. Delivered professional, empathetic, and accurate customer service at all times.