kevin User
@kevinuser25
Claims Specialist and Team Lead centralizing healthcare transactions and improving claims outcomes.
PhilippinesWhat I'm looking for
I’m a Claims Specialist at Ascendance BPO, where I lead my team and strategize methods to centralize and smoothen transactions across departments. I run team huddles to ensure everyone stays aligned with business needs, and I verify patient insurance coverage through various portals—coordinating with providers such as Optum, Express Scripts, and Caremark when information is missing.
I process and submit claims using in-house systems including Framework and DocuWiz, and I provide next-step guidance for denied claims. I also use EMR/EHR systems such as PointClickCare, SigmaCare, and MatrixCare to verify patient details, prescriptions, and diagnoses, while maintaining HIPAA compliance and resolving discrepancies by coordinating with the appropriate departments. Earlier roles as an Event Coordinator and an Engineer sharpened my operational support, research, and technical planning mindset.
Experience
Work history, roles, and key accomplishments
Led daily operations for billing, claims, and data entry teams to ensure productivity and service quality. Conducted team huddles, coaching sessions, and workflow monitoring to maintain alignment with business goals. Verified patient insurance coverage through provider portals and direct coordination with providers such as Optum, Express Scripts, and Caremark. Processed and submitted claims using
Verified patient insurance coverage, processed and submitted claims, and assisted with denied-claims resolution using internal systems. Maintained accurate prescription and patient/provider records while coordinating with relevant departments and complying with HIPAA requirements.
Coordinated administrative support and project tracking activities for events and executive operations. Prepared reports, business correspondence, presentations, and meeting materials. Conducted research on vendors, venues, and project requirements. Managed schedules, deadlines, and follow-ups to ensure timely completion of tasks. Maintained organized filing systems and project documentation. Supp
Assisted in prototype development and workflow planning for client projects. Conducted competitor analysis and benchmarking research to support project objectives. Produced high-quality technical outputs aligned with company standards and specifications. Collaborated with remote teams to ensure timely project delivery.
Education
Degrees, certifications, and relevant coursework
Technological University of the Philippines
Computer Engineering Technology
2009 - 2013
Availability
Location
PhilippinesAuthorized to work in
Job categories
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