Wilfred Burgos

WILFRED F. BURGOS Experience --1421 Sitio Maligaya Paciano Rizal Calamba Laguna Language English Tagalog Skills/Tools Calendar Management Email Management Adobe Slack Salesforce Outlook Med Manager DocuSign Word Press Zoho CPT Coding, (ICD-10, CPT, HCPCS ) Google Suite, Google Space Highly Organized Exceptional Keen to Details Excellent Multitasking Collaborative and Team Player Quality Assurance Lead Generation and Excellent Researcher Computer Maintenance and Troubleshooting Virtual Coworker - Australian Client Jan 2025 - April 2026 Ensured accuracy and organization of medical records, improving efficiency in claims processing. Supported case managers by accurately submitting DVA claim requirements, ensuring timely and compliant processing. Effective liaison with medical providers, clients, and third parties to arrange referrals, book appointments, and monitor progress throughout the completion of assessments Maintained strict confidentiality in handling sensitive medical information. Successfully requested and updated ADF medical records in the CRM using Zoho. Coordinated medical referrals and facilitated communication with providers and Department of Veterans Affairs (Australian govt.) Revenue Analyst (US Client- Remote BPO - Medrisk) July 2023 - Dec 2024 Successfully communicated with diverse payer clients, resulting in optimized collections and improved bill acceptance for rehabilitation services (PT, OT, WC, WH, Massage, Pool Therapy and other functional Medicine) Achieved 98% satisfaction by resolving complex prior authorization issues (95% resolution rate). Managed 1,000+ patient accounts via Salesforce & Med Manager, improving efficiency by 15%. Optimized collections and billing accuracy (98%) using CPT & ICD-10, reducing errors by 5%. Cross-trained in 4 revenue workflows, minimizing task delays. Maintained 100% HIPAA compliance. Proposed 15+ improvements, increasing claim acceptance by 10% and reducing denials by 5%. Medical Verification Officer (US Client Remote BPO - Emapta) July 2021 - July 2023 Voice task Managed patient requests via CityHealth tech platform using EHR tools (DrChrono, Elation). Addressed inquiries, escalated complex cases, and ensured accurate self-administered testing. Logged and transmitted results efficiently to the EHR system. Monitored patients as they self-administered tests, ensuring accuracy and proper procedure. Managed the patient’s timed countdown until test results were ready, providing seamless support throughout the process. Education Tertiary - City College of Calamba Bachelor of Science in Information Technology January 2011 - April 2015 Secondary - Camp Vicente Lim National Highschool January 2007 - April 2011 Achiever Primary - Paciano Rizal Elementary School January 2000 - April 2006 Achiever Achievements School Scholar - City College of Calamba Scholar of Commision of Higher Education IVA Calabarzon for 4 years) scholarship Coordinator Emmylou B. Yanga Ed.D. Certifications Top Performer for 5 months (Nov 2022, Jan 2023 - April 2023) Health Insurance Portability and Accountability Act (HIPAA 2023) Certificate in Civic Welfare Training Service (2012) Certificate in System Application and Products (2011) Seminar Certificate entitled "the five Foundations for a Productive Team (2011) HIPAA - Information Security and Awareness (2023) HIPAA Compliance and Cybersecurity: Protecting PHI (2023) HIPAA, Social Media, and Texting Compliance (2023) Identity Theft Prevention (2023) Non Voice task Successfully extracted patient information by exporting reports from the system, Efficiently organizing and sorting the data in Excel. Conducted thorough analysis and review of the data to ensure accuracy before uploading it to the main system. Delivered finalized results to patients in a timely manner. Managed the import of uploaded files and ensured they were sent to the supervisor/QA team for auditing, maintaining a high standard of data integrity and compliance throughout the process Customer Service Representative (US Client - Remote BPO Teletech) Jan 2021 - Jun 2021 Assisting US customers with retail pharmacy services, including appointment scheduling and insurance verification for vaccines and covid testing with a 98% satisfaction rate. Utilizing Anthem Health EHR system. Provided prompt and accurate responses to inquiries related to frequently asked questions ( FAQs ), resolving 95% of queries on the first call. Advisor I, Customer Service Rep (US Client Remote BPO Concentrix Seasonal November 2020 - December 2020 Demonstrated technical proficiency by handling inbound calls daily, providing accurate and detailed information about product services, and achieving a 98% customer satisfaction rate for knowledge and clarity. Quality Assurance/ Auditor Onsite Psi Technology Inc. November 2017 - September 2020 Performed in-process audits weekly, identifying process improvements that led to a reduction in defects and generating a 10% increase in overall operational efficiency. Purchaser Shutterstock Grocery Store April 2017 - September 2017 Successfully managed purchasing and item pick-ups for product lines, ensuring availability and reducing stockouts. • Coordinated with 30+ suppliers to expedite deliveries, reducing late deliveries by 20% and resolving 95% of supply chain issues within 48 hours. Purchasing Staff Onsite Toyota Autoparts (JAPAN) November 2015 - November 2016 Gained 1 year of experience working in a PEZA and ISOcertified company, ensuring compliance with all operational standards and contributing to a passing rate in internal audits. Utilized SAP system to manage purchase orders and inventory transactions, Monitored and processed over 200 purchase requisitions and purchase orders per month, ensuring timely approval and procurement, with a 95% on-time delivery rate.