Edilyn G.
Mid-Level Healthcare Revenue Cycle Specialist
Open to offersNew to PlatformAbout
Edilyn G. is a seasoned professional with extensive expertise in the healthcare and manufacturing sectors. Her career began at Nidec Philippines, where she honed her skills as an Industrial Engineering Staff by analyzing production schedules and designing efficient manufacturing systems. She then transitioned to the role of Title Insurance Representative at First American Title, managing title reviews and policy issuance. Edilyn further developed her capabilities in customer service excellence at Humana, part of Xerox Philippines, where she adeptly handled incoming calls and customer complaints. Since 2015, she has excelled in Revenue Cycle Management at Optum, demonstrating proficiency in patient eligibility verification across various insurances, claim billing, and account adjustments, consistently recognized as a Top Performer. Her academic foundation, a BSBA in General Management from Cebu Institute Technology University, complements her robust professional trajectory.
Experience
Revenue Cycle Management – Collection
Optum · 2015 — 2026Conducted patient eligibility checks across various insurances including Medicare, Medicaid, and Aetna. Managed Coordination of Benefits, claim billing, and claims status inquiries. Handled claims denial reviews, payment postings, and account adjustments while addressing client discrepancies.Customer Service Representative
Humana · 2012 — 2015Managed a high volume of incoming calls while identifying customer needs for satisfaction. Provided accurate information using appropriate tools, resolved complaints with timely solutions, and adhered to communication guidelines.Title Insurance Representative
First American Title · 2008 — 2012Reviewed titles, issued insurance policies, facilitated closings, and managed paperwork filing and recording.Industrial Engineering Staff
Nidec Philippines · 2004 — 2008Analyzed production schedules, engineering specifications, and process flows to understand manufacturing and service methodologies. Designed manufacturing and information systems based on product requirements.
Skills & Expertise
Education
- Bachelor of Science in Business Administration Major in General ManagementCebu Institute Technology University · — — 2023
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