V

Vince Aize Santos

About

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Antipolo, Calabarzon, Philippines

Timeline

work
Job
school
Education

Résumé

Jobs verified_user 0% verified
  • Neolytix
    Quality Analyst
    Neolytix
    Jul 2025 - Current (1 year 4 months)
    • Conduct comprehensive quality audits across Mental Health/Behavioral Health, Nephrology, Surgical, and Plastic Surgery accounts
    • Evaluate end-to-end workflows including payment collection, patient scheduling, appointment management, intake coordination, prior authorization, and prescription refill requests
    • Review and validate insurance eligibility and benefits (E&B) to ensure accuracy and compliance with payer guidelines
    • Ensure adherence to HIPAA regulations, client SOPs, and RCM standards
    • Provide actionable feedback and coaching to improve agent performance, documentation accuracy, and service quality
    • Identify process gaps and recommend improvements to reduce denials, delays, and operational inefficienci
  • GeBBS Healthcare Solutions
    Quality Analyst / Assistant Team Lead / Sme
    GeBBS Healthcare Solutions
    Nov 2021 - Jul 2025 (3 years 9 months)
    • Supported Dialysis accounts, specializing in insurance eligibility and benefits (E&B), prior authorization, and retro authorization processing
    • Managed and reviewed prior and retro authorizations, ensuring timely approvals and minimizing claim denials
    • Validated insurance coverage, coordination of benefits (COB), and payer requirements for accurate billing
    • Investigated and resolved complex cases involving authorization discrepancies and coverage issues
    • Conducted quality audits to ensure compliance with payer guidelines and regulatory standards
    • Served as Subject Matter Expert (SME) for escalations related to eligibility and authorization concerns
    • Assisted in team leadership through coaching, performa
  • I
    Customer Service Representative
    Igrant Marketing Services
    Jan 2020 - Oct 2020 (10 months)
    • Conducted outbound calls to verify patient information for Medicare and Medicaid accounts
    • Ensured accuracy of patient data while maintaining compliance with regulatory standards
    • Delivered professional and efficient service in a high-volume call environment
Education verified_user 0% verified
  • Our Lady Of Fatima University
    Bachelor of Science in Psychology
    Our Lady Of Fatima University
    Jan 2020 - Jan 2021 (1 year 1 month)
  • A
    Accountancy and Business Management (SHS)
    Apec School
    Jan 2018 - Jan 2020 (2 years 1 month)