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Kenneth V. — Claims Billing and Collection Specialist from Philippines

Kenneth V.

Claims Billing and Collection Specialist

Philippines 3-6 years 800 - 900 USD per month
Open to offersNew to Platform
Languages
EnglishTagalog
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About

Kenneth F. is an experienced professional in the health insurance and claims billing sectors, with a background supporting US-based healthcare organizations. From July 2021 to October 2023, Kenneth served as a Customer Service/Supervisor at Teleperformance, where he managed supervisor-level inquiries, handled escalation calls, and addressed issues such as medical appointments, billing, insurance coverage, and patient records for patients, providers, and insurers. Since November 2023, Kenneth has worked as a Claims Billing and Collection Specialist at Wellsky, engaging directly with insurance representatives to verify unpaid and underpaid claims, check benefits and eligibility, manage claim appeals, and ensure authorization status for medications and long-term care. His responsibilities are performed in compliance with MLTC Medicaid, HMO, and private insurance regulations.

Experience

  • Claims Billing and Collection Specialist

    Wellsky · 2023 — 2026
    Verified unpaid and underpaid claims by contacting insurance companies. Reviewed benefits and eligibility, monitored status of claim appeals, and checked authorization for medication and SNF services. Ensured compliance with MLTC Medicaid, HMO, and private insurance guidelines while collaborating with insurance representatives to resolve billing issues.
  • Customer Service/Supervisor

    Teleperformance · 2021 — 2023
    Supported patients, healthcare providers, and insurance partners by providing high-quality service. Addressed supervisor inquiries regarding escalation calls, complex medical appointments, billing, insurance coverage, and patient records. Managed incoming communications from patients, providers, and insurers about healthcare services.

Skills & Expertise

Education

  • SHS Graduate
    Calinan National High School · 2014 — 2020

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