Muhammad

Claim Specialist

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Overview

Looking for full-time work (8 hours/day)

at $3.28/hour ($640.00/month)

High school diploma

Last Active

August 29th, 2026 (6 days ago)

Member Since

April 28th, 2023

Profile Description

Leveraging my 7-year experience in medical informatics within hospital and BPO healthcare settings, specializing in health insurance claims for over a year.My strengths lie in empathy, emotional intelligence, speed, communication, and self-awareness. I bring hard skills in healthcare administration, customer support, EMR, and typing. I stand out as a proactive employee who completes tasks ahead of schedule, demonstrating a strong work ethic. I am a trainable, enthusiastic learner, adept at building relationships with customers, and possess a problem-solving mindset. I am genuinely passionate about my work.

Top Skills

Customer Support » Healthcare

Experience: 2 - 5 years

Maintaining a positive, empathetic, and professional attitude toward customers at all times  Responding promptly to customer inquiries  Communicating with customers through various channels  Acknowledging and resolving customer complaints  Knowing our products inside and out so that I can answer questions  Quote claim status and processing claims for adjustment  Quote benefits and coverage of the member  Keeping records of customer interactions, comments, and complaints  Communicating and coordinating with colleagues as necessary  Ensure customer satisfaction and provide professional customer support  Outbound calls to provider/billing office for dispute of the bills/claims  Follow-up calls to the member If necessary  Anti-fraud/HIPAA verification  Doing outbound calls to provider for the claims/bills dispute  Provides assistance to members having a problem with their Health Savings debit card  Checking ICD-codes If its under preventive or covered by Health Insurance

Professional Services » Medical Services » Patient Care

Experience: 5 - 10 years

Handling Patient Inquiries & Correspondence.

Customer Support » Insurance » Insurance Verification

Experience: 1 - 2 years

Providing policy holder's eligibility and benefits to agents who is HIPAA validated.

Other Skills

Professional Services » Medical Services

Experience: 5 - 10 years

● Arranging records of patients ● Attending phone calls in the reception ● Reporting daily census ● Sending patient's file to designated clinic and department ● Collecting file after clinic hour ● Tracks patients file/s just in case it’s being asked by an authorized personnel ● Navigating the patient files status by using OASIS system (EMR) ● Typing some letter for hospital purposes or personal purposes ● To insert doctor’s report into the files ● To scan some papers of the patients and save it to OASIS system (EMR)

Professional Services » Management Services » Customer Support Management

Experience: 1 - 2 years

Customer Support » Insurance » Medical Insurance

Experience: 1 - 2 years

Private healthcare insurance with experience of claim related concern, provide eligibility, and benefits to caller.

Professional Services » Medical Services » ICD-10

Experience: Less than 6 months

Using ICD codes to check If claim is in-network with the health insurance.

Basic Information

Age: 34

Gender: Male

Website: Sign Up with Pro Account to View

Address: Zamboanga city, Zamboanga del Sur

Tests Taken: IQ
Score: 85: DISC
Dominance: 24
Influence: 17
Steadiness: 37
Compliance: 22: English
B2(Upper Intermediate)

Government ID: Sign Up with Pro Account to View

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BENCHMARKS

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Muhammad

Claim Specialist

Overview

Profile Description

Top Skills

Customer Support » Healthcare

Professional Services » Medical Services » Patient Care

Customer Support » Insurance » Insurance Verification

Other Skills

Professional Services » Medical Services

Professional Services » Management Services » Customer Support Management

Customer Support » Insurance » Medical Insurance

Office and Administration » Admin Data Processing » Records Retrieval

Accounting » Claims Processing

Professional Services » Medical Services » HIPAA Compliance

Professional Services » Medical Services » ICD-10

Basic Information