Ma. Christyl A.

Christyl had worked in the BPO industry for more than 10 years. She worked as customer service representative (CSR), medical biller to Billing Analyst and got promoted as Exhibit Coordinator. All catering to US clients. After being a CSR for 2 years, she was promoted as a Process Improvement Expert which tasks include gathering and analyzing data, presenting data to the clients as well as to the operations, conducting huddles/meetings to the call associates and Team Leaders, coaching session with the call associate, answering client inquiries, and assisting operation in taking in calls. Then, Christyl switched career from being a call associate to a Medical Biller who acts as the third party vendor billing medical insurances for the denied claims. Christyl has a wide background as Billing Analyst (premium payments). Her job includes posting member payments, setting-up payment method and addressing refund queries with minimal and if possible error-free. As an expert of providing perfect service to the clients, she is confident can easily do the tasks. She is enthusiastic towards work especially in helping people meeting a common goal. PREMIUM BILLING/PAYMENT POSTING/EXHIBIT CREATION EXPERIENCE: **CONVEY HEALTH SOLUTIONS August 11, 2014 – August 12, 2020 • Exhibit Coordinator (June 01, 2020-August 12, 2020) Facilitates development, production and monitoring of the client/program exhibits and ensures the organization performs services in accordance with established Service Level Agreements. Works with IT, Operations, and Client Services Team to deploy exhibits and modifications in accordance with Client directives Assists with exhibit modifications as needed Monitors Service Level fulfillment status/SLA of all program specific in-house mailings Monitors Trigger/File transfer status/SLA of third-party fulfilled program specific mailings Monitors SLA performances of Documents Processing Functions Executes other projects and administrative tasks as assigned by Department Management • Billing Analyst (August 11, 2014–May 31, 2020) Responsible for the timely and accurate processing and posting of customer premium payments received via the call center, the client’s payment lockbox, automated withdrawal from ACH or credit card, or from an agency Post payment corrections specifically payment transfers Identifies and posts customer payments not automatically identified by the appropriate system and responds appropriately to billing-related correspondence in a timely manner Reviews and investigates returned checks, rejected ACH transactions, and rejected credit card transactions Responsible for preparing yearly open Accounts Receivables for all unreconciled years Bank reconciliation • Reconciliation Analyst (Temporary help to Recon while doing Billing Tasks) September 2019 – December 2019 Reviews identified discrepancies between the information within the system and the monthly files from government agencies and client systems including but not limited to the CMS Full File, the Payments Withholding Report and the Claim Processor Reconciliation Files. Takes appropriate action based on the discrepancy, to correct the information in the system identified as being incorrect and trigger any communication necessary based on the resolution. Documentation is detailed and concise as it pertains to member records. MEDICAL BILLER EXPERIENCE: **UNITED HEALTH GROUP September 16, 2013- August 8, 2014 • Optum360 – Revenue Cycle Management Prosperity Denial Management - Recovery and Resolution Specialist Does outbound calls to insurances for claim status and denial verification (if website is not available) Physician claim biller Bills/re-bills health insurances in behalf of the physician’s office (acts as third party vendor) Reviews claims denied by health insurances and appropriately finding resolution to ensuring payment reprocessing Communicates to onshore associates and office assistants for queries when necessary CUSTOMER SERVICE EXCELLENCE EXPERIENCE: **HINDUJA GLOBAL SOLUTIONS April 30, 2010 – September 15, 2013 • Process Improvement Expert as Claim Research Unit Auditor (September 30, 2012 – September 15, 2013) Reviews daily audits sent by the client and ensures timely completion. Ensures to meet calibration percentage monthly. Sends feedback to Operations for opportunities and possible trends • Customer Service Representative (Claims Analyst) 2 years and 5 months (April 30, 2010 – September 29, 2012) Handles health insurance account Verifies member’s eligibility and benefits Provides perfect service to medical professionals (customers) Informs providers the outcome of their claim Reviews provider’s complaints regarding their filed claims Assists in finding resolution on an unpaid claim