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Evelyn S. — Mid-Level Healthcare Billing Team Lead from Philippines

Evelyn S.

Mid-Level Healthcare Billing Team Lead

Philippines 6+ years
Open to offersNew to Platform
Languages
English
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About

Evelyn R. is a seasoned professional in the healthcare and customer service domains, with extensive experience in billing and quality assurance. Currently serving as an HMO Billing Team Lead at WellSky, part of Focusinc Group, she guides a team of twelve, ensuring smooth and accurate billing processes while overseeing adherence to company standards. Previously, Evelyn worked as a Quality Assurance Analyst for BCBS Florida and Bell Mobility, where she honed her skills in claims processing and quality monitoring through call listening sessions and QA talks. Her technical capability is complemented by proficiency in tools such as Citrix, EHR/EMR systems, and Microsoft Office. Evelyn is HIPAA certified, enabling her to excel in handling sensitive healthcare data. Her educational background includes a Bachelor of Science in Environmental Science from Mindanao State University. Throughout her career, she has demonstrated a strong ability to manage claims denial investigations and ensure coding accuracy in collaboration with the coding team.

Experience

  • HMO Billing Team Lead

    WellSky - Focusinc Group · 2023 — 2026
    Supervised a team of twelve, delegating daily tasks and monitoring billing accuracy. Conducted random audits and tracked KPIs such as attendance and productivity.
  • HMO Billing VA

    Comprehensive - Focusinc Group · 2021 — 2023
    Generated and submitted claims to insurances, investigated claims denials and underpayments, and verified eligibility and benefits.
  • Quality Assurance Analyst - BCBS Florida

    Teleperformance · 2019 — 2021
    Conducted call listening sessions, QA talks, and calibrations.
  • Quality Assurance Analyst - Bell Mobility and Expedia

    Teleperformance · 2016 — 2019
    Performed claims denial and underpayment investigations; processed prior authorization and insurance verification.
  • Customer Service and Technical Support

    Teleperformance · 2014 — 2016
    Handled inbound and outbound calls from providers regarding claims processing.

Skills & Expertise

Education

  • Bachelor of Science in Environmental Science
    Mindanao State University

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