Jerah Fe Las

Claims Denial | Insurance Verification| Claims Submission | Prior Authorizations About Me Dedicated and detail-oriented claim status specialist with over 4 years of experience in accurately assessing and processing claims. Expertise in navigating complex insurance policies and resolving discrepancies to ensure timely and efficient claims processing. Committed to delivering exceptional service and contributing to streamlined claim workflows Experience - -Davao City Philippines Education BILLING AND ELIGIBILITY AND AUTORIZATION SPECIALIST MVM HEALTH PAIN, VEIN AND WELLNESS November 2023 – May 2024 Billing and Eligibility and Benefits Specialist. Filing and Checking Claims and Davao Central Collage of Toril (IT- Under Graduate Toril Davao City- Federico Yap National High School Denials. Collecting and posting payments. Initiating prior authorization and referrals Astorga Sta Cruz Davao Del Sur- MEDICAL VIRTUAL ASSISTANT MVM HEALTH PAIN, VEIN AND WELLNESS November 2023 –April 2024 Skills Handling claims denial, claims rejection, and appeals. submit corrected claims, appeals, and any additional information requested by the insurance. handle account receivables, write off, missing money, outbound calls to follow up on Resolution · Escalation claims status, and payment posting DATA ENTRY SPECIALIST Resolution · Report Writing · Online. Crossroad OBGYN and Wellness PA. June 2021 – June 2022 Customer Support · Provide administrative support services including management of the clinical inbox system and general mailbox, uploading data and forms from online systems into Claims Management · Claims EHR, adding patients into online platforms, abstracting charts and intake forms, posting payments, working accounts receivable, filing claims, data entry, chart abstracting, insurance verifications, generation of administrative clinical documents as well as any other assigned tasks Education COMPLIANCE HEALTHCARE SPECIALIST Teleperformance Inc. April 2020- June- 2021 Scrubbing and validating reports | Reprocessed claims Credentialing requests | Prior Authorization · Pharmacy Benefit Management · Eligibility · Claims Handling · Credentialing · Compensation & Benefits · Perfect Attendance Excellent Communication Appointment/Interpreter setting | Update PCP/PPG | Benefit, Proof of Skills - Expert in Customer Service - Eligibility, and Authorization requests. Email and Chat Support | Sending Team player and emails for invalid requests and following up for valid/pending requests | Result Oriented - Flexible and Facilitating the needed follow-up for appeals and Grievance issues Dependable - Self-Supervised CUSTOMER SERVICE REPRESENTATIVE HEALTHNET CA March 2018- April 2020 Provides Customer support for consumers of the product. handles 50+ calls in a daily basis while consistently resolving Client’s issue smoothly and quickly Provides creative ideas to help the team manage stress Positive mindset - Works well under pressure