John Ver Dicdiquin

John Ver Dicdiquin B6 L20-B Candido Ramos St. Golden Acres Subd. Las Pinas Metro Manila | - | https://www.linkedin.com/in/johnver-dicdiquin-a4/ |- Profile Experienced Medical Claims Processor with 4 years in managing and verifying healthcare claims. Skilled in ensuring accuracy, compliance with policies, and quick resolution of issues. Proficient in claims processing software, ICD-10, CPT codes, and HIPAA regulations. Strong communicator and problem-solver, dedicated to supporting efficient healthcare operations. Experience SR. COLLECTIONS REPRESENTATIVE | OPTUM GLOBAL ADVANTAGE| JANUARY 2023 – PRESENT · Review and verify patient information, diagnosis, and procedure codes (ICD-10, CPT, HCPCS) before claim submission. · Review aging reports and prioritize accounts for follow-up. · Follow up with insurance companies and patients on unpaid or denied claims. · Research and resolve claim rejections and denials; submit appeals as necessary. · Communicate with insurance representatives to clarify claim issues and secure payment · Post payments, adjustments, and write-offs accurately in the billing system. · Maintain confidentiality and adhere to HIPAA regulations. CUSTOMER CARE COLLECTIONS SR. REP. | NTT DATA | APRIL 2021 – DECEMBER 2022 · Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables. · Responding to customer requests by phone and/or in writing. · Analyzing medical insurance claims for quality assurance. · Resolving moderately routine questions following pre- established guidelines. · Performing routine research on customer inquiries. · Developing and maintaining a solid working knowledge of the healthcare insurance. CUSTOMER SERVICE REPRESENTATIVE | TELEPERFORMANCE | AUGUST 2020 – FEBRUARY 2021 · Receive inbound customer calls, to achieve agreed targets and standards. · Maintain customer requirements. · Achieve call handling targets and standards. · Resolving moderately routine questions following pre- established guidelines. · Record data accurately. · Maintain a positive attitude at all times. · Ensure there is a high customer service focus · Achieve and exceed daily KPIs as set by the campaign requirements PROPERTY ADMINISTRATOR | EQUILAND PROPERTY MANAGEMENT CORP. | JULY 2019 – MAY 2020 · Monitor and maintain the property maintenance work order system. · Dealing with any property maintenance requirements. · Ensuring all property team members are working to the required standards. · Undertaking property surveys and preparing term maintenance plans. · Managing suppliers and third-party contractors. · Providing great service to clients. · Delivering reports to the senior management board on any findings. · Undertaking regular property inspections. FACILITIES ADMINISTRATOR | EQUILAND PROPERTY MANAGEMENT CORP. | JULY 2017 – JUNE 2019 · Managing/coordinating 3rd party vendor performance · Plumbing (clogs, leaks, fixture repair/replacement) minor electrical repairs. · Performing regular walk-throughs and evaluations of facilities. · Ordering, organizing, and maintaining all facility supplies. · Working knowledge of Health and Safety regulations. · Archiving and stockroom management. · Act as a Purchasing Officer, Inventory Officer and Liaison Officer as necessary. Education B.S. IN BUSINESS ADMINISTRATION | 2013 - 2017| EULOGIO "AMANG" RODRIGUEZ INSTITUTE OF SCIENCE AND TECHNOLOGY - CAVITE CAMPUS Medical Software and Tools · MS4 · Meditech · EFR · Cerner Soarian · Vi Web · Payment Integrity Compass (PIC) · Health Logic · On Demand · Simple Practice · Automated Collection Environment (ACE) · EPIC · Availity · One Healthport Activities and Interests Playing instrument, environmental conservation, hiking, travel · Finthrive (formerly. Nthrive) Page 2