Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Employment Profile
Languages
Timeline
Generic

Juan Enrico Mateum

East Rockaway,NY

Summary

Healthcare professional with CPC-A certification from American Academy of Professional Coders (AAPC). Skilled in managing patient interactions and administrative tasks for Revenue cycle management. Known for strong collaboration with teams, adapting to changing needs, and consistently achieving results. Proficient in scheduling, patient communication, and problem-solving, strong understanding on medical terminology with focus on delivering quality service and ensuring patient satisfaction.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Ambulatory Patient Service Rep.

Mt. Sinai South Nassau Mental Outpatient
10.2024 - Current
  • Patient Intake and Scheduling
  • Insurance Verification and Billing
  • Patient Support and Communication (Patient Confidentiality and HIPAA Compliance)
  • Medical Record Management
  • Coordination with Behavioral Health Professionals
  • Handling Confidentiality and Privacy
  • Patient Education and Resources
  • Administrative Tasks
  • Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
  • Verified insurance eligibility and coverage for patients.
  • Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.

Admitting clerk

Mt. Sinai South Nassau Hospital
06.2023 - 10.2024
  • Patient Registration
  • Collect and accurately record patient information including personal detail, family history, demographics and insurance information
  • Ensure compliance with all healthcare regulations, including HIPAA to maintain patient confidentiality
  • Accurately input patient data into the hospital's electronic record system
  • Communicate effectively with patients, their families and healthcare staff to provide exceptional customer service
  • Coordinate with nursing and medical staff to facilitate the admission process
  • Prepare and distribute admission documents and wristbands
  • Maintain accurate records of admission, discharges and transfers and ensuring that all the necessary documentation is completed in a timely manner
  • Generating reports of the census on different units of the hospital
  • Address and resolve any patient's concerns or issues to the admission process
  • Provide detailed handover information to incoming admitting clerks to ensure continuity of care
  • Participate in training and development opportunities to stay current on hospital policies and procedures
  • Verified patient details and insurance coverage and collected co-pays.
  • Reduced wait times for patients by efficiently managing high-volume admission periods during peak hours.

Content Moderator

Taskus Inc. Philippines
06.2022 - 02.2023
  • Company Overview: Meta Facebook
  • Responsible for testing Meta's products and services including apps, websites, and other digital products to ensure that they meet quality standards and user requirements
  • We identify any reports or issues and report it to the management
  • We test the performance of Meta's products and services including load testing, VR experience, digital interaction annotations and more
  • We also need to ensure that we can handle the high volume of users and traffic
  • We also identify any possible bottlenecks and issues and work with the development team to optimize performance
  • We also serve as a Data Analyst because we are also responsible for analyzing data related to Meta's products and services, including user engagement, performance, and other metrics
  • We are also responsible for testing the compatibility of the products in Meta across different devices and platforms, including PC, mobile, and virtual reality headsets
  • Overall, these job roles are critical in ensuring that Meta's products and services meet the highest standards of quality, security, and user experience, and that they provide value to users around the world
  • Maintained a high level of accuracy in identifying and flagging prohibited materials, resulting in improved site quality.

Email Support Specialist for ROE (Rest of Europe)

TDCX Malaysia
10.2020 - 12.2021
  • Company Overview: Stripe Payment Services
  • Responsible for providing prompt and professional email support to clients
  • We respond to inquiries to the business owners with their account application
  • Sending follow up if there are any pending requirements needed and making sure that business owners would be able complete their account activation
  • Providing technical support to customers who are experiencing issues with the company's products or services
  • We troubleshoot technical issues, provide instructions and guidance, and escalate issues to the appropriate team members when necessary
  • We ensure that the clients are satisfied with their interaction with us
  • We work to resolve issues and provide assistance in a friendly and professional manner, ensuring that customers feel valued and heard
  • Overall, the job roles and responsibilities of an Email Support Specialist are critical in ensuring that clients receive prompt and effective support and that their needs are met in a timely and professional manner
  • Maintained detailed documentation of support interactions, ensuring valuable insights are preserved for future reference and analysis.

Senior Executive for Customer service

Prudential Assurance Malaysia
01.2018 - 10.2020
  • Providing answers to the questions regarding their claims and insurance policy (Prudential Singapore)
  • Responsible for ensuring that our clients and existing customers receive prompt and effective service
  • We work with the agents to identify opportunities for improvement and implement strategies to improve client satisfaction
  • Contact customers via call, email or SMS in order to respond to inquiries or to notify them of claim investigation results and any planned adjustments
  • Overall, the job roles and responsibilities of a Senior Executive in Prudential Malaysia is mainly ensuring that the clients and customers receive prompt and effective service, and that agents and other representatives are equipped with the skills and knowledge needed to provide high quality customer support

New Business and Implementation Officer

Cognitif Solutions Inc.
11.2015 - 11.2016
  • Responsible for identifying new business opportunities and developing strategies to expand the company's customer base
  • We work with other department within the organization to ensure that company is well positioned to meet the needs of the potential clients
  • Maintaining and building relationships with existing customers and potential clients under corporate or B2B sales
  • We work to develop proposals and presentations that effectively communicate the company's value proposition to clients
  • We are also responsible for conducting market research to identify trends, opportunities, and challenges in the industry

New Customer Line

Manulife
07.2012 - 05.2014
  • Delivering exceptional customer service to all prospective clients seeking information about insurance plans
  • Responding promptly and accurately to inquiries regarding new policies and coverage details
  • Providing comprehensive information and guidance to customers about available insurance plans, presenting various options, and offering recommendations based on their unique needs
  • Generating insurance policy quotations and providing pricing details over the phone
  • Ensuring all customer interactions are documented and accurately recorded in the system
  • Following up with customers as needed to ensure a positive customer experience and successful policy enrollment
  • Adhering to company policies and procedures related to data privacy, compliance, and customer service standards

Customer Service Specialist / Sales Specialist

IBM Global Processing Service
02.2010 - 04.2012
  • Company Overview: Citibank North America and Sears cards
  • Providing exceptional customer service by actively listening to customers, addressing their concerns, and suggesting appropriate solutions to their banking needs
  • Building positive relationships with customers by delivering an exceptional customer experience during every interaction
  • Demonstrating strong product knowledge and understanding of bank policies and procedures to provide accurate information to customers and resolve their inquiries in a timely and efficient manner
  • Citibank North America and Sears cards
  • Managed high call volume while maintaining a courteous and professional demeanor.
  • Handled escalated calls calmly, finding resolutions that satisfied both the company and the customer''s needs.

Education

Bachelor of Science - Nursing

Far Eastern University Dr. Nicanor Reyes Medical Foundation
Philippines
01.2008

High School Diploma -

School of Saint Anthony
Philippines
01.2004

Skills

  • Customer service
  • HIPAA compliance
  • Insurance verification
  • Patient intake
  • Appointment scheduling
  • Office administration
  • Medical billing
  • Healthcare industry
  • Telehealth support
  • HIPAA compliance awareness
  • ICD-10 proficiency
  • Revenue cycle management
  • Medical terminology
  • CPT coding

Accomplishments

  • Detail-oriented and motivated healthcare professional with a CPC-A certification from the American Academy of Professional Coders (AAPC)

Certification

Certified Professional Coder- Apprentice (CPC-A), American Academy of Professional Coders (AAPC), 11/01/24

Employment Profile

  • Ambulatory Patient Service Rep., Mt. Sinai South Nassau Mental Outpatient, 10/21/24, Present, Patient Intake and Scheduling, Insurance Verification and Billing, Patient Support and Communication (Patient Confidentiality and HIPAA Compliance), Medical Record Management, Coordination with Behavioral Health Professionals, Handling Confidentiality and Privacy, Patient Education and Resources, Administrative Tasks
  • Admitting clerk, Mt. Sinai South Nassau Hospital, 06/12/23, 10/18/24, Patient Registration. Collect and accurately record patient information including personal detail, family history, demographics and insurance information., Ensure compliance with all healthcare regulations, including HIPAA to maintain patient confidentiality., Accurately input patient data into the hospital's electronic record system., Communicate effectively with patients, their families and healthcare staff to provide exceptional customer service., Coordinate with nursing and medical staff to facilitate the admission process., Prepare and distribute admission documents and wristbands., Maintain accurate records of admission, discharges and transfers and ensuring that all the necessary documentation is completed in a timely manner., Generating reports of the census on different units of the hospital., Address and resolve any patient's concerns or issues to the admission process., Provide detailed handover information to incoming admitting clerks to ensure continuity of care., Participate in training and development opportunities to stay current on hospital policies and procedures.
  • Content Moderator, Taskus Inc. Philippines - Meta Facebook, 06/15/22, 02/15/23, Responsible for testing Meta's products and services including apps, websites, and other digital products to ensure that they meet quality standards and user requirements., Identify any reports or issues and report it to the management., Test the performance of Meta's products and services including load testing, VR experience, digital interaction annotations and more., Ensure that we can handle the high volume of users and traffic., Identify any possible bottlenecks and issues and work with the development team to optimize performance., Analyze data related to Meta's products and services, including user engagement, performance, and other metrics., Test the compatibility of the products in Meta across different devices and platforms, including PC, mobile, and virtual reality headsets.
  • Email Support Specialist for ROE (Rest of Europe), TDCX Malaysia - Stripe Payment Services, 10/19/20, 12/14/21, Responsible for providing prompt and professional email support to clients., Respond to inquiries to the business owners with their account application., Send follow up if there are any pending requirements needed and making sure that business owners would be able to complete their account activation., Provide technical support to customers who are experiencing issues with the company's products or services., Ensure that the clients are satisfied with their interaction with us.
  • Senior Executive for Customer service, Prudential Assurance Malaysia, 01/08/18, 10/16/20, Providing answers to the questions regarding their claims and insurance policy (Prudential Singapore)., Responsible for ensuring that our clients and existing customers receive prompt and effective service., Contact customers via call, email or SMS in order to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
  • New Business and Implementation Officer, Cognitif Solutions Inc., 11/01/15, 11/01/16, Responsible for identifying new business opportunities and developing strategies to expand the company's customer base., Maintaining and building relationships with existing customers and potential clients under corporate or B2B sales., Conducting market research to identify trends, opportunities, and challenges in the industry.
  • New Customer Line, Manulife, 07/16/12, 05/01/14, Delivering exceptional customer service to all prospective clients seeking information about insurance plans., Responding promptly and accurately to inquiries regarding new policies and coverage details., Providing comprehensive information and guidance to customers about available insurance plans.
  • Customer Service Specialist / Sales Specialist, IBM Global Processing Service - Citibank North America and Sears cards, 02/08/10, 04/01/12, Providing exceptional customer service by actively listening to customers, addressing their concerns, and suggesting appropriate solutions to their banking needs., Building positive relationships with customers by delivering an exceptional customer experience during every interaction.

Languages

English
Full Professional

Timeline

Ambulatory Patient Service Rep.

Mt. Sinai South Nassau Mental Outpatient
10.2024 - Current

Admitting clerk

Mt. Sinai South Nassau Hospital
06.2023 - 10.2024

Content Moderator

Taskus Inc. Philippines
06.2022 - 02.2023

Email Support Specialist for ROE (Rest of Europe)

TDCX Malaysia
10.2020 - 12.2021

Senior Executive for Customer service

Prudential Assurance Malaysia
01.2018 - 10.2020

New Business and Implementation Officer

Cognitif Solutions Inc.
11.2015 - 11.2016

New Customer Line

Manulife
07.2012 - 05.2014

Customer Service Specialist / Sales Specialist

IBM Global Processing Service
02.2010 - 04.2012
Certified Professional Coder- Apprentice (CPC-A), American Academy of Professional Coders (AAPC), 11/01/24

Bachelor of Science - Nursing

Far Eastern University Dr. Nicanor Reyes Medical Foundation

High School Diploma -

School of Saint Anthony
Juan Enrico Mateum