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Caren Jay Baquiran

@carenjaybaquiran

Healthcare Account Specialist with 9 years in US RCM—COB and payer-portal claim follow-up with HIPAA-grade accuracy.

Philippines
Message

What I'm looking for

I want to work as an Insurance A/R Follow-Up Specialist, using my US RCM experience to verify coverage, follow claims, resolve discrepancies, and keep HIPAA-compliant documentation accurate—so payments move faster and errors drop.

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

Sitel Philippines logoSP

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 logoTP

Technological University of the Philippines

Nutrition and Food Technology

2008 -

Studied Nutrition and Food Technology at Technological University of the Philippines starting in 2008.

Tech stack

Software and tools used professionally

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