Jomar Caluma Pantoja
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Detail
Healthcare Administrative Support
Marikina, Metro Manila, Philippines
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work
Full-time jobs
Starting at
USD1k/month
Résumé
Jobs
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Customer Service Assistant (on-call job)SagilityDec 2020 - Jun 2023 (2 years 7 months)• Assisted Aetna Medical & Dental Provider services in resolving customer issues and concerns through inbound calls. • Demonstrated strong multitasking abilities by effectively navigating systems and resolving issues simultaneously during inbound calls. • Processed a significant volume of claims during tenure with Aetna, which enhanced understanding of the end-to-end revenue cycle management and supported efficient problem resolution for providers.- Medical BillerHinduja Global SolutionsJun 2019 - Dec 2020 (1 year 7 months)• Helped Humana PPI team to resolved providers issue/concern, reviewing medical claim disputes • Processed claims via clearinghouse and paper, resolved denials and follow up • Efficiently delivered an average of 27 letters per day with 100% accuracy on all Claims for 1 week • Experience in Computation, Recoupments & payment process of medical claims
Education
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- GDiploma in Animation, Multimedia & Graphic DesignGlobal Career Access Training InstituteMay 2013 - May 2015 (2 years 1 month)Relevant training: Wave 40 PPI Written correspondence June 2019; Seminar: Professionalism, Employees Right, Improving your work habits.