Aniceto Bohol

ANICETO BOHOL VIRTUAL ASSISTANT/CUSTOMER SERVICE Highly motivated and resourceful professional with eight years of diverse experience in retail, insurance, healthcare, finance, financial services, and telecommunications industries. Seeking a challenging position as an Insurance Representative, leveraging expertise in customer service, sales, technical support, and insurance advocacy to contribute to an organization's success and growth. SKILLS ✓ Customer Service Representative: Expert ✓ Technical Support: Advanced ✓ Sales and Marketing: Expert ✓ Sales: Advanced ✓ Sales & Business Development: Advanced ✓ Payment Collection: Expert ✓ Credit Card Processing: Advanced ✓ Accounts Receivable: Advance ✓ Insurance: Advanced ✓ Appointment Scheduling: Expert ✓ Billing & Record-Keeping: Advanced ✓ Medical Representative: Expert ✓ File Management: Basic ✓ Microsoft 365: Intermediate ✓ Google Management: Advance ✓ Intermediate ✓ CRM: Intermediate LANGUAGES -- Lot 3 Phase 4 Robinslane Poblacion Liloan, Cebu City 6002 PROFESSIONAL EXPERIENCE Insurance Verification and Authorization Specialist Spine and Rehab Associates (Hogan Chiropractic Clinic). (July 2021-April 2025) Responsibilities: • Verify patient insurance coverage and benefits prior to scheduled appointments or procedures. • Contact insurance companies via phone or online portals to confirm active policies and coverage details. • Submit pre-authorization requests for procedures, diagnostic tests, and specialist visits. • Follow up on pending authorizations and ensure approvals are received in time. File and appeal if authorization was denied. Achievements: • Verified over 1,000 insurance policies monthly with a 98% accuracy rate, ensuring smooth billing and scheduling workflows. • Increased authorization turnaround time by 50% through proactive followups and establishing direct contact protocols with major insurance providers. Real State VA and Appointment Setter StartVirtual (September 2020 - June 30, 2021) ✓ ✓ ✓ ✓ English: Advance Tagalog: Expert Visaya: Expert Japanese: Basic ✓ French: Basic INTERESTS ✓ Outdoors activities like rock climbing, hiking, cycling, etc. ✓ Community-based activities like church, clubs, sports teams, etc. ✓ Cooking ✓ Travelling to places to chill and relax ✓ Playing mobiles games ✓ Going to gym ✓ Reading books specifically financial goals and healthy lifestyle ©AZURIUS Responsibilities: • Generating leads: I proactively reached out to potential clients and prospects to identify individuals interested in selling properties. Achievements: • Increased lead conversion: Implemented effective strategies that resulted in a higher conversion rate of leads into scheduled appointments, leading to increased opportunities for real estate agents. Appointment Setter and Admin Assistant TriOS and Eastern College (July 2018-August 2020) Responsibilities: • Answers phone calls and directs callers to appropriate personnel, answering student’s inquiry through email, chat and text, schedules appointments, assists clients, maintain documents and contracts. ©AZURIUS - My-resume-templates.com Achievements: • I successfully streamlined the document management system, resulting in a 20% increase in efficiency. EDUCATION Medical Billing Specialist Teleperformance Inc. (BlueCross BlueShield) (July 2017-August 2018) ✓ Bachelor’s Degree in Hotel, Restaurant, Tourism & Management Southern Leyte State University-Main Campus, Sogod, Southern Leyte CHARACTER REFERENCES ✓ Kris Adriane Babiera Phone:- Email:-✓ Elton Jay Ayuda Phone:- Email:- Responsibilities: • Prepare and submit accurate medical claims to insurance companies (private, Medicare, Medicaid). • Ensure claims are compliant with billing guidelines and coding standards (ICD-10, CPT, HCPCS). • Monitor the status of submitted claims and follow up on unpaid or denied claims and ensure accuracy in billing codes, modifiers, and documentation. • Confirm eligibility, benefits, co-pays, and pre-authorization requirements. • Work with insurance companies to resolve denials and re-submit corrected claims. Achievements: • Reduced claim denials by 30% within 3 months by improving coding accuracy and implementing a pre-submission checklist. • Achieved a 99% clean claim rate by double-checking CPT/ICD-10 codes and ensuring correct documentation. • Successfully trained and onboarded 3 new billing assistants, resulting in a 40% increase in department productivity. Insurance Advocate and Sales Representative EXL Incorporation Services (April 2015- June 2016) Responsibilities: • Helping individuals and institutions improve their financial wellness through life & health insurance, retirement services, annuities, and investment. • Providing advice to clients on topics such as retirement planning, estate planning, and investment strategies. • Assist them when it comes to filing taxes processing loans and withdrawals. Achievements: • Resolving customer issues quickly and efficiently, developing creative solutions to complex problems, and going above and beyond to meet customer needs. • Successfully advocating for a client who was initially denied coverage, resulting in them receiving the benefits they needed.