Caren Jay Baquiran
@carenjaybaquiran
Healthcare Account Specialist with 9 years in US RCM—COB and payer-portal claim follow-up with HIPAA-grade accuracy.
What I'm looking for
I’ve spent the last 9 years working in healthcare revenue cycle management, supporting US-based accounts. I started as a Coordination of Benefits Representative and later became a Healthcare Account Specialist. My main focus was insurance eligibility and benefits verification, plus AR follow-up.
Day to day, I’d verify patient insurance coverage using Availity, NaviNet, and Change Healthcare before appointments. I’d check if policies were active and make sure billing had the right info. I also spent a lot of time on the phone with insurance companies doing AR follow-up - checking claim status, resolving denials, and getting updates on unpaid or delayed claims. I got used to long hold times and navigating payer phone systems, and I learned how to document everything clearly for the team.
I worked remotely for 9 years on US timezone hours, so I’m used to working independently, staying organized, and keeping everything HIPAA-compliant. My biggest strength is accuracy and communication. I’m patient when dealing with insurance reps and I’m detailed when updating records.
Outside of work, I’m interested in learning new systems and improving my skills. I’m motivated and I like being part of a team where I can contribute and grow. I’m currently looking for a Medical Billing Healthcare Assistant role where I can use my 9 years of RCM experience while learning more about EMR systems like Tebra or SimplePractice. I’m a fast learner and I’m ready to complete any training needed.
What I value most in a job is clear communication, fair expectations, and a team that supports each other. I’m reliable, I show up on time, and I take ownership of my work.
Experience
Work history, roles, and key accomplishments
Managed high-volume customer calls for reservations, itinerary changes, and ticketing while maintaining professionalism. Updated booking records accurately and supported customers via phone and email to resolve account access issues.
Customer Support Specialist
Sitel Philippines
Jul 2008 - Mar 2010 (1 year 8 months)
Handled inbound calls from a national customer base, providing product and service information and processing bookings/orders within required time frames. Investigated and resolved service, product, and billing issues while maintaining accurate interaction records.
Education
Degrees, certifications, and relevant coursework
Technological University of the Philippines
Nutrition and Food Technology
2008 -
Studied Nutrition and Food Technology at Technological University of the Philippines starting in 2008.
Availability
Location
Authorized to work in
Social media
Job categories
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