Healthcare Operations Specialist | Claims Management | HIPAA Compliant
Rizal
I’m a healthcare operations and customer support professional with over five years of experience across healthcare, revenue operations, customer service, claims management, and team leadership. My experience includes supporting patients and healthcare providers, managing accounts receivable and claims, handling billing and invoices, following up on complex cases, processing appeals, managing escalations, and helping teams improve their daily workflows. I also have experience supporting Australian customers in the energy and internet service industry, giving me a strong understanding of customer service expectations and professional communication in an Australian business environment. I enjoy solving problems, improving processes, supporting customers, and helping teams work more efficiently. I’m adaptable, coachable, detail oriented, and comfortable working in fast paced environments while maintaining a high level of professionalism. Areas I can support: • Healthcare Operations • Revenue Cycle Management • Accounts Receivable • Claims Management • Billing and Invoice Review • Denial Management • Appeals and Claim Follow Up • Patient Support • Customer Service • Team Leadership • Coaching and Mentoring • Process Improvement • CRM and Ticketing Systems • Email and Communication Management • Sales Order Processing I’m always open to connecting with healthcare organizations and businesses looking for reliable, proactive, and people focused support.
MedRisk, full_time
May 2023 to Apr 2026
• Led and mentored the Revenue Cycle Management team • Managed daily team operations and supported performance goals • Provided coaching and performance feedback to improve productivity • Handled escalations involving complex claims follow up • Supported appeals processing and claims resolution • Managed billing and claims submission activities • Handled denial management and claim follow ups • Helped streamline operational workflows