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Princess C. — Mid-Level Healthcare Revenue Cycle Management Specialist from Philippines

Princess C.

Mid-Level Healthcare Revenue Cycle Management Specialist

Philippines 6+ years
Open to offersNew to Platform
Languages
English
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About

Princess Joy C. brings nearly six years of experience in the U.S. healthcare industry, focusing on medical billing, revenue cycle management (RCM), and denial management. Her roles have included Medical Claims Analyst for Med-Metrix, where she examined claims for Crozer Health, ensured regulatory compliance with HIPAA and CMS guidelines, and identified critical errors or inconsistencies. As a Subject Matter Expert at Evolent HealthCare International, she trained BPO teams and improved process efficiency and quality. Princess Joy has managed patient flow and EMR scheduling as a Medical Appointment Setter VA for Phoenix Virtual Solutions and performed payment posting, appeals, and prior authorizations at BruntWork. Her background also features telecom industry experience in client support, high-value collections at NTT DATA, and payroll processing as an Accounting & Tax Specialist at Web Phil Inc. She holds a Bachelor of Science in Accountancy from Quezon City University.

Experience

  • Medical Biller VA

    Brunt Work · 2024 — 2026
    Handled payment posting, claims processing, appeals, grievances, claim status inquiries, denial management, prior authorization, and responsibilities within revenue cycle management.
  • Medical Claims Analyst

    Med-Metrix · 2023 — 2024
    Served as the billing editor for Crozer Health, reviewed medical claims, collaborated with revenue cycle management groups, and ensured adherence to regulatory standards including HIPAA and CMS guidelines, identifying errors or inconsistencies.
  • Medical Appointment Setter VA

    Phoenix Virtual Solutions · 2024 — 2024
    Managed patient appointments and intakes, coordinated with providers using EMR systems, and ensured effective communication and workflow optimization. Addressed inquiries and verified information while maintaining precise scheduling records.
  • Subject Matter Expert

    Evolent HealthCare International Phil. · 2022 — 2023
    Provided expertise to the BPO team, analyzed current processes, and identified opportunities for enhancing efficiency, quality, and cost-effectiveness, while training new hires and current team members.
  • Customer Service Representative

    Hinduja Global Solutions · 2020 — 2022
    Managed inbound calls for a major telecommunications provider, assisting customers with inquiries related to iPhone orders and account issues. Emphasized efficient issue resolution and customer satisfaction.
  • Customer Care Collections Senior Representative

    NTT DATA · 2022 — 2022
    Oversaw high-value accounts for unpaid phone orders, engaged with customers to arrange payments, and addressed billing concerns while ensuring account accuracy.
  • Accounting & Tax Specialist

    Web Phil Inc. · 2018 — 2020
    Handled client payment posting, managed ledgers, and took care of payroll processing, including the calculation of wages, deductions, and taxes.

Skills & Expertise

Education

  • Bachelor of Science in Accountancy
    Quezon City University · — — 2022

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