Hire ESL Teacher | Healthcare Associate | Appeals, Audits & Claims Management In Philippines
Are you looking to hire a ESL Teacher | Healthcare Associate | Appeals, Audits & Claims Management In Philippines? Our Marketplace has over 200,000+ virtual assistants ready to assist you! Starting at $3 an hour or $400 per month, these cost-effective virtual assistants are ready to help you grow your business!
Judith S.
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ESL Teacher | Healthcare Associate | Appeals, Audits & Claims Management
I am a Healthcare Associate specializing in Appeals, Audits, and Claims Management, with 5 years of experience in the healthcare BPO industry. I started my career at Accenture, where I developed a strong foundation in end-to-end claims processing, denial resolution, and audit handling for U.S.-based healthcare clients. Throughout my tenure, I’ve been deeply involved in reviewing complex claims, submitting appeals, managing audit responses, and ensuring regulatory compliance — all while maintaining accuracy, timeliness, and quality standards. Currently, I am employed under a U.S. direct client, focusing on medical trip coordination and claims handling, where I manage cases related to patient transportation, medical necessity validations, and benefit eligibility. This role has further strengthened my skills in case analysis, provider coordination, and real-time problem-solving in high-pressure scenarios. My key strengths include: Appeals and Denial Management Claims Processing and Adjudication Healthcare Audits and Documentation US Healthcare Regulations (HIPAA, CMS) Client and Provider Communication Case Management and Medical Trip Coordination Cross-functional Team Collaboration Accuracy, Compliance, and Timely Follow-through With a passion for process improvement and a commitment to service excellence, I take pride in being part of a system that helps patients receive the care and coverage they deserve.
| EXPECTED SALARY | AVAILABILTY | EDUCATION | EXPERIENCE |
|---|---|---|---|
| $800/Month | Part-Time | Bachelor | 5 years |
| EXPECTED SALARY | AVAILABILTY |
|---|---|
| $800/Month | Part-Time |
| EDUCATION | EXPERIENCE |
|---|---|
| $Bachelor | 5 years |
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