Joel Y.
Senior Billing Representative
Open to offersNew to PlatformAbout
Joel G. has accumulated over 9 years in customer service, specializing in the BPO industry with a focus on Revenue Cycle Management for US-based life and health insurance companies, hospitals, clinics, and doctors. Currently serving as a Billing Representative at Conifer Healthcare Solutions since April 2020, Joel is responsible for processing appeals billing and medical records requests, functioning as the point of contact in the absence of a supervisor, and managing complex accounts using various tools such as Ace, Cerner, HPF, and others. Previously, he held the position of Strategic Account Specialist at UHC/OPTUM Global Solutions, dealing with end-to-end claim processes and assisting providers. Joel's expertise is further solidified by a background in business and computer programming, coupled with his HIPAA certification and proficiency in EMR systems and medical terminology.
Experience
Billing Representative
IBS-ARM, Conifer Healthcare Solutions · 2020 — PresentResponsible for reviewing, processing, and completing appeals for billing and medical records requests, sending them to medical insurance payers through mail, fax, email, and payer portals as part of revenue cycle management. Served as point of contact during the supervisor's absence, providing support to colleagues on complex accounts. Handled the submission of initial claims and medical records using both paper and electronic methods. Worked with various tools including Ace, Cerner, HPF, Power Chart, Invision, iDoc, Vi Web, On Demand, Nthrive, Finthrive web, and E-premis. Maintained HIPAA certification.Strategic Account Specialist (SAS)
UHC/OPTUM Global Solutions · 2017 — 2020Initially engaged as a Provider Services Representative, later advancing to Strategic Account Specialist, where I managed the end-to-end process for claims, focusing on complex and unpaid accounts. Provided patient benefits and eligibility information to healthcare providers. Assisted providers with claim denials and the authorization process.Customer Service Representative
Sitel Philippines · 2016 — 2017Supported customers in purchasing items online, including bags, garments, and jewelry. Assisted with return processes, providing vouchers and coupons for future purchases. Managed item tracking through USPS and communicated tracking numbers to customers.Teller
Customer Frontline Solutions, Inc · 2014 — 2016Facilitated monthly bill payments for customers, ensuring assistance with due dates. Accepted payments in cash and checks.
Skills & Expertise
Education
- Bachelor of Science in Bus. Admin (Major in Financial Management- undergrad)AIE College International · 2011 — 2011
- Business and information ManagementAIE College International · 2011 — 2011
- Computer Programming NC - IVAMA Computer College · 2009 — 2009
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