Johnny Roxas
Carson,CA
Summary
Dynamic professional with a proven track record at ParamountCare Corporation, adept in medical billing and fostering client relationships. Excelled in streamlining claim processing and enhancing customer satisfaction. Skilled in Microsoft Excel and customer service, I bring a comprehensive skill set and a commitment to excellence in every endeavor.
Overview
16
16
years of professional experience
Work History
Activities Assistant
Torrance Care Center
Torrance, CA
02.2024 - Current
- Coordinate and facilitate engaging activities for patients, ensuring their active participation and motivation
- Customize recreation programs to align with the residents' interests and capabilities, fostering a stimulating and inclusive environment
- Organize and lead activities to promote socialization, interpersonal relationships, and confidence among residents
Account Executive
ParamountCare Corporation
Makati
02.2019 - 09.2022
- Accurately and efficiently process medical claims
- Verify all necessary information on incoming claims
- Choose and utilize correct member and provider records for claim processing
- Adjudicate claims in accordance with departmental policies and accreditation standards
- Promote cooperation and understanding among all personnel
- Maintain confidentiality of claim files and related issues
- Process and approve claims in computerized system
- Prepare payment request for healthcare providers
Underwriting Assistant
Paramount Life & General Insurance
Makati
03.2009 - 02.2019
- Underwrite Comprehensive Family Group Policy (CFGP)
- Issue approved applications in computer systems with premium payment
- Check and update computer screen entries before system issuance
- Review policy contracts and CFGP certificates for quality control before release
- Report new business, reinstatement, and amendments applications to Medical Information Bureau
- Prepare refunds, charges, declined, postponed, cancelled, expired validity, and not proceeded-with applications letters
- Coordinate and respond to inquiries from internal and external customers
- Assists with other assigned tasks by superior
Education
BS - Nursing
National University
Manila05.2007
BS - Medical Technology
Emilio Aguinaldo College
Manila04.1998
Skills
- Office applications
- E-mail Management
- Schedule Management
- Internet Research
- WordPress Management
- Social Media Management
- Data Entry / Transcription
- E-Commerce
- Book Keeping
- ICD-10
- CPT coding
- Medical terminology
- Typing
- Customer service
- Accounts receivable
- Medical billing
- Medical coding
- Medical collection
- Microsoft Excel
- Microsoft Office
- Benefits administration
Timeline
Activities Assistant
Torrance Care Center
02.2024 - Current
Account Executive
ParamountCare Corporation
02.2019 - 09.2022
Underwriting Assistant
Paramount Life & General Insurance
03.2009 - 02.2019
BS - Nursing
National University
BS - Medical Technology
Emilio Aguinaldo College
Similar Profiles
Lilibeth BragaLilibeth Braga
LVN Charge Nurse at Torrance Care CenterLVN Charge Nurse at Torrance Care Center
Marlen AgredanoMarlen Agredano
Medical Assistant at 1st Stop Urgent Care & Family Practice TorranceMedical Assistant at 1st Stop Urgent Care & Family Practice Torrance
Szofia HardingSzofia Harding
Medical Receptionist at Torrance Memorial Physician Network - Urgent CareMedical Receptionist at Torrance Memorial Physician Network - Urgent Care
Tiarra ChisolmTiarra Chisolm
Customer Service Representative at See's CandiesCustomer Service Representative at See's Candies
Julian ValdezJulian Valdez
Executive Protection at Gavin De Becker & AssociatesExecutive Protection at Gavin De Becker & Associates