Aileene R.
Junior Insurance Claims Specialist
Open to offersNew to PlatformPortfolios
About
Aileene R. is an experienced Flex Trainer and Customer Service Representative with a background in the healthcare insurance and hospitality industries. She supported payer tracking coordination at Comprehensive AR Solution from 2021 to 2023, conducting training and onboarding for Virtual Assistants on payer tracking, AR workflows, and SOP compliance. Her responsibilities included managing end-to-end claims follow-up, insurance verification, analyzing denials, auditing quality, and collaborating with billing and collections teams to improve reimbursement outcomes. At Teleperformance PH, Aileene handled patient and provider inquiries and claims assistance in a fast-paced environment. She also brings experience as a barista and holds a BS in Hotel and Restaurant Management from the University of Mindanao. She has utilized medical billing, EHR/EMR systems like SigmaCare and MatrixCare, and office tools including MS Office and Google Workspace across her roles.
Experience
VA/Trainer - Payer Tracking Coordinator
Comprehensive AR Solution · 2021 — 2023Conducted training and onboarding for Virtual Assistants, focusing on payer tracking and AR workflows while ensuring compliance with SOPs. Managed the entire claims follow-up process, which included verification of insurance, status checks, and resolution of issues. Analyzed denials and aging accounts receivable to identify trends, implementing corrective actions as necessary. Performed quality audits and provided performance feedback to ensure adherence to KPIs and SLAs. Collaborated with billing and collections teams to enhance reimbursement processes and minimize aging accounts receivable. Maintained precise documentation and reporting utilizing payer systems and tracking tools.Flex Trainer
Teleperformance PH · 2020 — 2021Served as a Flex Trainer in the healthcare insurance industry, specializing in training teams and providing process guidance. Handled inquiries from patients and providers, performing insurance verification and assisting with claims. Demonstrated strong problem-solving abilities and communication skills while delivering customer service in a dynamic environment.Customer Service Representative
Teleperformance PH · 2016 — 2020Worked as a Customer Service Representative within the healthcare insurance sector. Assisted patients and providers with inquiries, verified insurance details, and provided support for claims. Known for effectively addressing customer needs and ensuring satisfaction through strong communication and problem-solving skills.Barista
Pearl Farm Beach Resort · 2014 — 2016Employed as a Barista, skilled in coffee preparation and beverage service. Demonstrated strong customer service abilities while efficiently managing orders and POS transactions in a fast-paced setting. Committed to delivering high-quality drinks and providing an excellent customer experience.
Skills & Expertise
Education
- Bachelor of Science in Hotel and Restaurant ManagementUniversity of Mindanao · 2009 — 2014
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