Mark J.
Mid-Level Healthcare Virtual Assistant
Open to offersNew to PlatformAbout
Mark J. is a results-driven healthcare professional with substantial experience in medical billing, insurance verification, and revenue cycle management. At UST Global Inc., he served as a Medical Biller, expertly managing end-to-end claims processing, handling denials, and ensuring compliance with essential healthcare regulations like HIPAA. Previously, he demonstrated strong organizational skills and leadership as a Junior Team Leader at Revenulytics, where he oversaw operational efficiency, analyzed KPIs, and drove process improvements. His career includes a significant tenure as an Insurance Verification Representative at MiraMed Philippines, where he maintained and input insurance information accurately. His education in Accountancy and Business Management from APEC Schools and hands-on experience, including roles such as Customer Service and Sales Representative, underscore his proficiency in administrative, organizational, and customer service tasks. Mark is now seeking new avenues as a Virtual Assistant to leverage his expertise to support remote business operations.
Experience
Medical Biller (Associate - II)
UST Global Inc. | Independence Blue Cross · 2023 — 2026Utilized standardized codes (ICD-10, CPT, and HCPCS) for the precise documentation of diagnoses, treatments, and procedures. Collected and verified patient demographics, insurance information, and medical history. Prepared and submitted claims to insurance entities and government agencies while managing claim denials through resubmissions and appeals. Ensured adherence to healthcare regulations including HIPAA and generated billing activity reports.Junior Team Leader – (Commercial Plan)
Revenulytics | Emerhub · 2022 — 2023Monitored operational efficiency while analyzing business requirements and customer needs. Supervised team performance through training and oversight, ensuring compliance with company policies. Conducted daily, weekly, and monthly KPI analysis and compiled performance report data. Acted as a Subject Matter Expert (SME) for reimbursement and collections, auditing transactions for account accuracy and collaborating on process updates with QA and Training teams.Reimbursement Coordinator (Revenue Cycle Management)
Revenulytics | Emerhub · 2022 — 2022Executed direct billing to healthcare facilities while confirming compliance with company policies. Verified patient eligibility for Medicare and Commercial insurance, updated demographic and insurance details, and managed inbound calls for appeals and reconsiderations. Conducted benefit verifications and pre-determinations prior to service delivery.Insurance Verification Representative
MiraMed Philippines | Parallon IV · 2021 — 2022Maintained and accurately input insurance data while verifying patient benefits and financial liabilities. Ensured strict confidentiality of patient information and documented all account activities comprehensively.Customer Service Representative
Teleperformance Philippines | United Healthcare · 2019 — 2020Managed inbound calls regarding member plans and coverage, assisted with claims inquiries, and resolved issues. Filed complaints, coordinated follow-ups, scheduled appointments, and provided product guidance to members regarding plan options.Sales Representative
Inspiro | 1-800 Flowers · 2018 — 2019Processed customer orders through inbound calls, upselling products to achieve weekly sales objectives. Handled refunds, addressed customer complaints, and assisted in monitoring inventory and tracking reports.
Skills & Expertise
Education
- Accountancy and Business ManagementAPEC Schools · 2016 — 2018