Princes Fatima Jocson
Las Vegas,NV
Summary
Seeking for a Remote Medical Office position where I can utilize my extensive computer and medical knowledge. A dedicated individual with five years of experience working in an office and retail industry seeking a long-term employment with a company that offers great benefits and career growth.
Overview
8
8
years of professional experience
Work History
Medical Billing and Insurance Specialist
Gastroenterology Associates
01.2023 - Current
- Post and adjust payments from patients and insurance companies.
- Precisely evaluates and verifies benefits and eligibility.
- Identify and resolve patient billing and payment issues.
- Assist patients on their concerns and requests while adhering to HIPAA regulations.
- Examine and verify patients' insurance information, demographics and medical records.
- Communicate effectively and extensively with other departments to resolve billing and insurance issues.
- Submit, track and secure prior authorization for specialist visits, surgical procedures and diagnostic orders.
- Regulate and manage various provider portals to process prior authorizations or pre-certifications.
- Contact and work with doctor offices to obtain medical documentations needed for the successful authorization approval.
- Submit and process authorization denials, reconsiderations and appeals.
Administration and Accounting Specialist
Jesch, LLC
11.2016 - 02.2022
- Performed general accounting duties.
- Updated and maintained accounting records and merchant accounts.
- Improved financial accuracy by performing detailed account reconciliations and resolving discrepancies.
- Provided excellent customer service when addressing inquiries from internal external stakeholders, ensuring their needs were met in a timely manner.
Merchandise Associate
The TJX Companies
07.2020 - 04.2021
- Utilized strong communication skills to work effectively with team members and resolve customer concerns promptly.
- Increased customer satisfaction by providing exceptional service and maintaining a clean, organized sales floor.
- Maintained up-to-date knowledge of current trends and customer preferences to adjust merchandise presentation accordingly.
- Contributed to increased revenue by successful store credit card sign ups.
- Greeted, serviced, and thanked all customers.
Verification and Customer Service Representative
Jesch, LLC
07.2016 - 11.2016
- Verified customers' personal and billing information.
- Processed customers' transactions.
- Collaborated with team members to develop best practices for consistent customer service delivery.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Education
Medical Billing And Coding Diploma -
Las Vegas College
Las Vegas, United States11.2022
High School Diploma -
Liceo De Calauan
Laguna, Philippines03.2006
Skills
- ICD-10, CPT/HCPCS knowledge
- Medical terminology
- MS Office
- Able to work Remotely
- Medical Records Management
- Insurance Knowledge
- HIPAA Compliance
- Prior Authorization
- Patient Care
Timeline
Medical Billing and Insurance Specialist
Gastroenterology Associates
01.2023 - Current
Merchandise Associate
The TJX Companies
07.2020 - 04.2021
Administration and Accounting Specialist
Jesch, LLC
11.2016 - 02.2022
Verification and Customer Service Representative
Jesch, LLC
07.2016 - 11.2016
Medical Billing And Coding Diploma -
Las Vegas College
High School Diploma -
Liceo De Calauan
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