Medical Claims Specialist/Data Entry SpecialistMedical Claims Specialist/Data Entry Specialist
Maria
$1,500
per month
($9/hour)
Profile Description
Detail-oriented professional with experience in **remote healthcare support, medical billing, claims processing, data entry, and administrative operations**. Worked remotely as a Claims Specialist for Connext Global Solutions, supporting US healthcare billing operations through accurate data entry, insurance payment posting, claims review, CPT coding audits, denial management, and payment reconciliation using NextGen Office. Also experienced in documentation, records management, quality control,...
Work Experience
Medical Claims Specialist
Connext Global Solutions
Jun 2024 - Aug 2026
Key Achievements:
- Accurately perform data entry and assign CPT codes for services using NextGen Office, while researching complex cases to ensure precise claim submission. - Record insurance payments, invoices, and billing adjustments in NextGen Office; reconcile and close daily payment batches with accuracy and timeliness. - Prepare counters for rejected or denied claims, edit and resubmit corrected claims promptly through NextGen Office, ensuring compliance with payer requirements. - Conduct detailed coding reviews and audits within NextGen Office to verify accuracy, compliance, and adherence to regulatory standards. - Maintain query lists for missing information, organize billing records systematically in NextGen Office, and support efficient workflow across the billing cycle.
Turnover Specialist
DMCI Project Developers Inc
Nov 2023 - Jun 2024
Key Achievements:
- Delivered comprehensive client support, ensuring a seamless experience from initial unit viewing through documentation processing to final unit turnover. - Conducted thorough quality inspections of units prior to turnover, proactively addressing concerns and ensuring strict compliance with company standards. - Managed turnover documentation and contracts, including acceptance forms and key handovers, while collaborating with engineers, property managers, and customer service teams to resolve unit issues efficiently. Monitored client feedback and unit completion reports, maintaining accurate records of turnover processes to support continuous improvement and client satisfaction.
Administrative Assistant and Social Media Manager
Maclyn Catering Services
Aug 2019 - Dec 2022
Key Achievements:
- Managed administrative tasks, including scheduling, correspondence, and document organization, seamless daily operations. - Delivered exceptional customer service by promptly addressing inquiries and resolving issues using Meta Business Suite. - Assisted in coordinating catering orders, communicating with clients, and preparing invoices for events and services. - Manages business social media platforms by creating and executing engaging content strategies, utilizing Canva Pro and Adobe Photoshop to design high‑impact graphics and promotional materials. - Oversees campaign implementation and audience engagement, ensuring consistent branding, optimized reach, and measurable growth across digital channels.