Maranesa D.
Mid-Level Healthcare Administrative Specialist
Open to offersNew to PlatformAbout
Maranesa N. is an experienced healthcare administrative professional with over 9 years in patient engagement, disability claims management, and customer service. With a Bachelor of Science in Respiratory Therapy from Perpetual Help College of Manila, she has managed complex cases involving the Veterans Affairs and Social Security Administration, ensuring accurate documentation and HIPAA compliance. Her proficiency extends to healthcare systems such as Optum Provider Services, AthenaOne, and tools like Salesforce and Zoho. As a client care and account specialist at Trajector Medical, she guided over 200 veterans through disability claims. Previously, at Optum Global Solutions, Maranesa excelled in benefits verification and claims compliance. Earlier in her career, she worked at Choice Hotels, where she was promoted to Front Desk Specialist and served as a Subject Matter Expert in training. Maranesa is adept at claims uploading & pre-invoice auditing, providing valuable advocacy and customer support within the healthcare sector.
Experience
Patient Engagement & Care Coordination
null · 2024 — 2026Facilitated patient engagement and coordinated multidisciplinary care by activating participation, streamlining workflows, and ensuring compliance with healthcare standards. Engaged patients through education and proactive outreach while maintaining HIPAA-compliant documentation of interactions and care plans.Client Care & Account Specialist
Trajector Medical / Disability Remote · 2021 — 2024Provided support to veterans navigating VA disability and SSA claims processes. Coordinated with attorneys to prepare medical evidence, oversaw claim uploads, and conducted pre-invoice audits to ensure compliance and financial accuracy.Customer Service Representative – Provider Services
Optum Global Solutions Manila · 2020 — 2021Managed benefits verification, eligibility checks, and authorization processing for healthcare providers. Ensured compliance with claims by conducting detailed reviews and maintaining high standards of accuracy.Reservation Specialist / Front Desk Specialist / Subject Matter Expert
Choice Hotels · 2015 — 2019Handled reservations, modifications, and cancellations while delivering excellent customer service. Managed guest check-ins and inquiries as a Front Desk Specialist and mentored new hires as a Subject Matter Expert in the Training Department.
Skills & Expertise
Education
- Bachelor of Science in Respiratory TherapyPerpetual Help College of Manila · — — 2013
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