Kristhel Yhen Venturanza
@kristhelyhenventuran
I resolve healthcare claims and support patients across telehealth and pharmacy operations.
PhilippinesWhat I'm looking for
I've built over seven years of experience supporting healthcare operations, most recently as a Medical Specialist at Change Healthcare. I contribute to telehealth operations, claims resolution, and client support while helping streamline healthcare processes.
Across Change Healthcare, Firstsource, Cambria Software, and Optum, I've handled medical billing, insurance verification, prior authorization, claims management, and pharmacy-related support. I focus on seamless claim handling and patient services.
Earlier in my career at WNS, TeleTech Sta. Rosa, and Alorica Teleservices, I assisted customers with inquiries, refunds, and order concerns. I also checked patient eligibility, supported claims compliance, and communicated with healthcare providers to facilitate claims resolution.
I'm motivated by improving client satisfaction through collaborative, solutions-oriented support that aligns with modernizing and simplifying the healthcare experience.
Experience
Work history, roles, and key accomplishments
Pharmacy Specialist
Firstsource Limited / Change Healthcare
Dec 2024 - Present (1 year 8 months)
Pharmacy Specialist at Firstsource Limited / Change Healthcare.
Worked as Pharmacy Specialist at FIRSTSOURCE LIMITED / CHANGEHEALTH CARE.
Claim Specialist at Optum.
Medical Specialist
Contributed expertise in telehealth operations, claims resolution, and client support, collaborating to streamline healthcare processes and ensure seamless claim management.
Claims Specialist at Optum.
Pharmacy Specialist
Feb 2023 - Dec 2024 (1 year 10 months)
Worked as Pharmacy Specialist at CAMBRIA SOFTWARE PHILS., INC. CHANGEHEALTH CARE.
Pharmacy Specialist
Cambria Software Phils., Inc. / Change Healthcare
Feb 2023 - Dec 2024 (1 year 10 months)
Pharmacy Specialist at Cambria Software Phils., Inc. / Change Healthcare.
Assisted customers with inquiries, refunds, and order concerns. Ensured timely and professional issue resolution to maintain satisfaction.
Assisted customers with inquiries, refunds, and order concerns. Ensured timely and professional issue resolution to maintain satisfaction.
Checked patient eligibility and ensured claims compliance. Ensured timely and professional issue resolution to maintain satisfaction. Communicated with healthcare providers to facilitate claims resolution.
Education
Degrees, certifications, and relevant coursework
Bachelor of Business Administration (BBA)
Leuteboro National High School
Fortuna
Southwestern Institute of Business and Technology
Bachelor of science and customs administration, Traffic
2006 - 2010
Southwestern Institute of Business and Technology
Bachelor of Science in Customs Administration, Traffic
2006 - 2010
Pursued a Bachelor of Science in Customs Administration with a focus on Traffic.
Fortuna
Bachelor of Business Administration, Business Administration
Attended Fortuna for a Bachelor of Business Administration degree.
Leuteboro National High School
High School Diploma, General Studies
Completed secondary education at Leuteboro National High School.
Tech stack
Software and tools used professionally
Availability
Location
PhilippinesAuthorized to work in
Job categories
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