Sydney Trance

Sydney Trance - Sitio Banglid, Brgy. Balabag, Pavia, Iloilo Philippines 5003 About Me I am dynamic and detail-oriented professional with 8 years of extensive experience in the customer service industry, including 3 years of expertise in healthcare insurance. Adept at managing workflows in medical bill review services, with proven proficiency in processing denials, handling appeals, and verifying medical authorizations. Demonstrates strong knowledge of medical terminologies and standards, including ICD-9 and ICD-10, CPT, HCPCS, and diagnosis code. Additionally, I ensure strict compliance with HIPAA and state regulations, maintaining accuracy in all processes. Dedicated to delivering high-quality service, I prioritize client satisfaction through exceptional problem-solving and communication skills. Skills Proficiency in Medical Coding HIPAA & State Regulation Compliant EHR management: Practice Fusion Prior Authorization Industry Standard forms (UB04/HCFA1500) Medical Terminologies Data entry Calendar Management Project Management Organize Accuracy Attention to details Proactive Time management Problem-Solving Character Reference Cherry Rose Geaga Broadspire Team Support- Crawford and Company Logistics INC. Herbert Garcia IAG Insurance Manager- WNS GLOBAL PHILPPINES, INC. WORK EXPERIENCE Crawford and Company Logistic INC. Nov 2021 - Dec 2024 Broadspire Worker’s Comp. Health Insurance Customer Service Representative-(Medical Bill Review) Providing the status of the bill. Investigate and process denied claims. Process appeals. Review patient’s medical records. Resolving billing issues. Knowledge of CPT codes, DRG, POS, HIPAA, etc. Adhere to state guidelines and fee schedules. Review prior authorization. Record patients data. Jul 2018 - Nov 2021 WNS GLOBAL PHILPPINES, INC. IAG PROPERTY INSURANCE CLAIMS - NRMA, SGIO & SGIC Sr. associate customer service representative Assist in claiming damaged property. Processing payments· Identifying the needs of the insured/tenant after a natural disaster. Provides insurance coverage as outlines in the policy. Responsibility to act in good faith when handling claims and policy holder interactions.· Identifying policy coverage of the insured’s when claiming We handle property insurance, rental property and commercial property insurance claim. Assisting property owner/tenant/Real Estate agent for their concerns. IQOR PHILIPPINES NOV 2016 - MAY 2018 Walmart.com E-commerce Customer Service Representative Providing excellence customer service. Tracking an online order. Assisting in ordering items online Processing online payment Process refund Process returns Education BS Cruise Ship Management John B. Lacson Foundation Maritime University June 2008 - March 2012 Deans Lister 4th year College Completed 200 hours OJT in M>V St. Michael and 800 hours OJT in Hotel and Restaurant