Franklin Veras
@franklinveras
Dedicated medical claims collections representative with strong problem-solving skills.
What I'm looking for
I am a dedicated Medical Claims Collections Representative with over five years of experience in the healthcare industry. My journey began at Sutherland Global Services, where I honed my customer service skills, and later transitioned to Teleperformance Philippines, where I provided essential information to healthcare providers. I worked at Optum Global Solutions, where I track and resolve insurance claim issues, ensuring timely processing and management of claims.
Throughout my career, I have developed a strong expertise in accounts receivable collections, denial management, and claims payment processing. My ability to analyze claims and resolve issues efficiently has contributed to improved operational processes and enhanced client satisfaction. I am passionate about leveraging my skills to support healthcare providers and contribute to the overall efficiency of healthcare services.
Experience
Work history, roles, and key accomplishments
Medical Claims Collections Representative
Optum Global Solutions
Feb 2020 - Mar 2025 (5 years 1 month)
Responsible for tracking and resolving insurance claim issues, including denials and appeals. Performed accounts receivable collections, follow-up, denial management, claims payment processing, tracking, and appeals for hospital processes.
Provider Service Representative
Teleperformance Philippines
Jun 2017 - Feb 2020 (2 years 8 months)
Explained benefits, eligibility, and other relevant information to providers. Provided comprehensive support to healthcare providers regarding their inquiries.
Chat Support Representative
Sutherland Global Services
Nov 2015 - Apr 2016 (5 months)
Provided chat support to customers, addressing their inquiries and resolving issues efficiently. Maintained high levels of customer satisfaction through effective communication.
Customer Service Representative
Sutherland Global Services
Sep 2015 - Oct 2015 (1 month)
Assisted customers with their concerns and provided solutions to various issues. Ensured a positive customer experience through professional and courteous interactions.
Customer Service
Sanford Marketing, Savemore Philippines
Sep 2014 - Feb 2015 (5 months)
Provided customer service to shoppers, assisting them with their needs and inquiries. Ensured a pleasant shopping experience for all customers.
Education
Degrees, certifications, and relevant coursework
Camarines Norte State College
Bachelor of Science, Office Administration
Completed a comprehensive curriculum in office administration, gaining proficiency in various administrative tasks and office management. Developed strong organizational and communication skills essential for professional environments.
Basud National High School
High School Diploma, General Studies
Completed secondary education, building foundational knowledge across various subjects. Participated in school activities that fostered teamwork and personal development.
Daet Elementary School
Primary Education Certificate, General Studies
Completed primary education, acquiring fundamental literacy and numeracy skills. Engaged in early learning experiences that built a strong educational foundation.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Social media
Job categories
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