Jecerel Lumando

A dedicated Virtual Professional with expertise in the US Healthcare system. Equipped with knowledge and skills about how US healthcare specializes in Skilled Nursing and Rehabilitation facilities for Inpatient, Outpatient, and Therapy Services. JECEREL L. LUMANDO Assistant HMO Biller Contact Address WORK HISTORY CLAIM STATUS SPECIALIST (12/2021-01/2023) Quality Health Care Resources, Lakewood NJ  Davao City, Philippines 8088 Phone  - E-mail  -JECEREL L. LUMANDO  Skills  Knowledge of claim filling procedures Attention to details Confidentiality (HIPAA Guidelines)  Used strong analytical and problem-solving skills to develop effective solution for challenging situations Maintains updated records and prepares required documentation to support the insurance claims Provide excellent customer service when working with customers and hospitals to resolve insurance claim issues, answer questions, and provide solutions to other problems related to medical claims Handle third-party claims to include negotiations and settlement Reviews and evaluates all work-related accident reports for completeness and clarity of data; analyzes data, as needed, to ensure compliance with policy and regulatory requirements Determines customer's insurance coverage and evaluating those who have filed a claim Computer competences Health Insurance Problem Solving Skills CUSTOMER SERVICE ASSOCIATES (03/2018-12/2021) Knowledge with HCPS, CPT, ICD 10 Healthnet of California, California USA Medicare Guidelines  Education Bachelor of Secondary Education in English Batch 2020 - Compostela Valley State College, Maragusan Davao de Oro Liceo De Davao High School Batch 2013 – Briz Campus Tagum City, Davao del Norte     Interact with the customers by addressing inquiries and resolving complaints Provides satisfactory customer support on a specific product or service Patience to ensure professionalism emotional intelligence Clear communication skills Effectively and efficiently addressed customers’ concerns and inquiries.