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Jenelyn L. — Mid-Level Medical Account Specialist from Philippines

Jenelyn L.

Mid-Level Medical Account Specialist

Philippines No experience yet
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Languages
English
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About

Jenelyn A. is a Virtual Medical Assistant with a solid foundation in the healthcare BPO industry, accumulated over nearly five years of expertise in medical accounts. She possesses a Bachelor's degree in Elementary Education with a major in Early Childhood Education from Cebu Normal University. Her professional journey includes significant roles such as an Insurance Verification Coordinator at Foundever, where she managed claims processes for specialty medications and ensured thorough verification of patient eligibility and insurance details. In her role, she adeptly handled prior authorizations and claims, closely following HIPAA protocols. Prior to this, she excelled as a Patient Care Advocate at EXL, skillfully addressing inquiries about short and long-term disability claims and maintaining accurate records. Her tenure as a Provider Services Representative at WIPRO further showcases her ability to handle calls regarding eligibility, benefits, and prior authorizations efficiently. Jenelyn's proficiency with MS Office, Google Calendar, and Zoom, coupled with her meticulous data entry capabilities, make her a valuable asset in the medical service domain.

Experience

  • Insurance Verification Coordinator

    Foundever · 2022 — 2023
    Managed claims processing for specialty medication efficiently. Verified patient eligibility and insurance details. Assisted medical office with prior authorization, claims, and benefits. Conducted data entry in IMS medical software or Electronic Medical Records. Made outbound calls to health plans, medical offices, and patients while ensuring adherence to HIPAA regulations. Confirmed patient delivery addresses for medication and facilitated prescription transfers as needed.
  • Patient Care Advocate

    EXL · 2019 — 2021
    Responded to incoming calls from patients, medical doctor's offices, and authorized callers regarding short and long-term disability claims. Provided explanations on claim statuses and payment information. Accurately collected and documented vital data such as work-related dates and relevant medical information, receiving recognition for maintaining documentation accuracy.
  • Provider Services Representative

    WIPRO · 2016 — 2019
    Handled incoming calls addressing inquiries related to eligibility, benefits, prior authorizations, and claims, maintaining an average handle time of no more than 375 seconds monthly. Processed Prior Authorization requests for various procedure codes and injections.
  • Kindergarten Teacher

    Company not specified · 2015 — 2016
    Educated young children in fundamental skills such as reading, writing, counting numbers, science, and essential life skills.

Skills & Expertise

Education

  • Bachelor of Elementary Education Major in Early Childhood Education
    Cebu Normal University · 2011 — 2015

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