Open to opportunities

Jesper Abellana

@jesperabellana

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Detail-oriented Insurance Verification Specialist with healthcare experience.

Philippines

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What I'm looking for

I am looking for a role that values accuracy and teamwork, where I can ensure efficient insurance verification and contribute to patient care.

I am a detail-oriented and highly motivated Insurance Verification Specialist with over a year of experience in healthcare support roles. My expertise lies in insurance verification, where I utilize payer portals such as Waystar, UHC, Availity, MyCGS, and Noridian to confirm patient eligibility, benefits, and coverage. I pride myself on delivering efficient, HIPAA-compliant administrative support in fast-paced remote settings.

In my current role at Aptiva Medical, I perform detailed insurance verification to ensure timely and accurate documentation for billing and authorization processes. My previous experience as a Member Services Representative at United Healthcare honed my skills in managing high-volume inbound calls, verifying insurance eligibility, and providing empathetic support to patients. I am eager to contribute to a healthcare team by ensuring optimal billing and care coordination through my meticulous approach to insurance verification.

Experience

Work history, roles, and key accomplishments

Current

Insurance Verification Specialist

Current

Aptiva Medical

May 2024 - Present (1 year 1 month)

Performed detailed insurance verification to confirm active coverage, benefits, and limitations. Utilized payer portals such as Waystar, Availity, UHC, and MyCGS to validate insurance information and ensure timely documentation for billing and authorization processes.

Insurance Verification Waystar Availability UHC Portal MyCGS Documentation Billing Support

Member Services Representative

United Healthcare

Sep 2023 - Feb 2024 (5 months)

Managed high-volume inbound calls from patients regarding prescriptions and insurance concerns. Verified insurance eligibility, processed prior authorizations, and coordinated billing using the IRIS system to manage patient records efficiently.

Billing Coordination Patient Support Empathy Communication

Virtual Assistant

Level Up Lead Generation

May 2020 - Oct 2021 (1 year 5 months)

Provided remote administrative services including photo editing using Photoshop and Canva, data entry, and email support. Maintained organized digital communication and supported daily client operations.

Administrative Support Photo Editing Photoshop Canva Data Entry Digital Communication

Education

Degrees, certifications, and relevant coursework

Talisay City College

Bachelor of Science, Industrial Technology

Graduated with a Bachelor of Science in Industrial Technology. This program provided a comprehensive understanding of industrial processes and technological applications.

Talisay City National School

TVL ICT - Animation Track, ICT - Animation

Completed the TVL ICT - Animation Track program. This specialized track focused on developing skills in information and communication technology with an emphasis on animation.