Results-driven professional with over 7 years of experience in the BPO industry, specializing in U.S. healthcare billing, customer service, and quality assurance. Extensive experience in processing payments, handling reimbursements, submitting claims to insurance companies, and reviewing billing information to ensure accuracy and compliance with established guidelines.
Strong understanding of U.S. medical billing processes, including Explanation of Benefits (EOBs), patient responsibility, insurance balances, claim status follow-up, and resolution of billing discrepancies. Skilled in verifying patient and insurance information, maintaining accurate records, and coordinating with internal teams to ensure timely and accurate claim processing.
Fluent in both spoken and written English, with substantial experience handling patient and customer calls professionally and empathetically. Known for the ability to remain calm under pressure, communicate clearly, and provide excellent customer service while resolving complex billing concerns.
Highly organized and detail-oriented, with strong analytical and problem-solving skills. Currently working as a Quality Analyst at Cotiviti Philippines Inc., where I review cases for accuracy and compliance, provide performance feedback, and ensure quality standards are consistently met.
