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Maximo J. — Mid-Level Medical Billing and Quality Analyst from Philippines

Maximo J.

Mid-Level Medical Billing and Quality Analyst

Philippines 3-6 years
Open to offersNew to Platform
Languages
English
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About

Maximo Jr. C., a seasoned Virtual Assistant, brings over five years of expertise from the healthcare and customer service industries. With notable roles as a Medical Receptionist and Quality Analyst at companies like VXI Global Holdings and Modivcare, he adeptly handles patient appointments, processes payments, and ensures compliance with healthcare protocols. He possesses extensive knowledge in CPT codes, ICD 10 codes, and medical billing practices, particularly within skilled nursing facilities. Maximo thrives in environments requiring strong analytical and problem-solving skills. His ability to work both independently and collaboratively enables him to manage and resolve complex issues efficiently. Maximo's dedication to quality assurance and customer satisfaction is demonstrated by his proficiency in tools like Valant, Availity, and MedForce, which he utilizes to optimize service delivery and maintain detailed customer interaction records. His educational background from the University of Southeastern Philippines further strengthens his capacity to support organizational objectives.

Experience

  • Aftersales Service

    Walmart · 2024 — 2026
    Responded to customer inquiries and complaints professionally, resolving issues related to product returns and repairs. Coordinated with internal teams to follow up on customer concerns while maintaining detailed records of interactions and monitoring feedback to suggest service improvements.
  • Quality Analyst

    VXI Global Holdings, VB- Davao · 2023 — 2024
    Reviewed calls, emails, and communications between agents and members while conducting audits for compliance with regulations and policies. Monitored key performance indicators (KPIs) to assess quality, identifying trends in service delivery and agent performance, and collaborating with management for improvement initiatives.
  • Medical Receptionist

    FGC+ Davao · 2022 — 2023
    Managed incoming calls, addressed patient inquiries, and directed calls appropriately. Handled patient appointments through scheduling and cancellations while verifying insurance information and collecting co-payments. Entered and updated patient data in electronic health records (EHR) systems, ensuring confidentiality and privacy of patient information.
  • HMO Biller

    Skilled Nursing Facility · 2023 — 2023
    Processed primary and secondary claims, verifying data accuracy and ensuring timely billing. Addressed rejected claims by making necessary corrections and resubmitting. Managed authorization verifications and handled unpaid claims and denials, including sending appeals and posting payments.
  • Technical Support Rep.

    Comcast · 2021 — 2022
    Addressed technical issues such as connectivity problems and set-top box errors. Guided customers through basic troubleshooting steps while ensuring customer security during identity verification. Simplified complex technical concepts for non-technical customers to enhance their understanding.

Skills & Expertise

Education

  • Bachelor of Science in Agriculture
    UNIVERSITY OF SOUTHEASTERN PHILIPPINES

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