KATHREEN
Details
English:
Fluent/Native
Tagalog:
Fluent/Native
Wise
Full-time
Not specified
Not specified
Not specified
No
China Standard Time
(UTC+08:00)
Experiences
Accounts Receivable Supervisor
Oct 2025 - Jan 2026
Supervised offshore healthcare A/R teams supporting US providers. Managed payer follow-ups for Medicare, Medicaid, and commercial insurance plans. Reduced days in A/R through denial management, appeals, and root-cause analysis. Ensured accurate claim submission and adherence to US healthcare billing standards. Delivered team training, performance coaching, and quality assurance reviews.
Skills Learned
Operations Team Leader
Oct 2023 - Oct 2025
Oversee daily operations of the team (inbound, outbound, chat, email, etc.). Monitor attendance, adherence, and productivity. Track KPIs and analyze metrics to identify areas for improvement. Conduct one-on-ones, coaching sessions, and performance reviews. Monitor calls and emails to ensure quality standards are met. Prepare and submit daily/weekly/monthly reports on performance and issues.
Skills Learned
Customer Service Representative
Dec 2021 - Aug 2022
Provide customer details about their benefits and eligibility. Respond to customer inquiries related to products, services, or orders. Handle calls professionally and efficiently. Assist customers in placing, tracking, modifying, or canceling orders. Resolve issues related to delayed or lost shipments. Guide customers through the return or exchange process.
Skills Learned
Benefits, Eligibility, & Claims Associate
Dec 2021 - Aug 2022
Verify patient insurance eligibility, coverage, and benefits prior to services rendered. Review plan details including deductibles, copayments, coinsurance, and coverage limits. Confirm policy effective dates, authorization requirements, and network status. Identify, correct, and resubmit rejected or denied claims to maximize reimbursement.
Skills Learned
Team Coach
Dec 2020 - Aug 2022
Prepare and present daily, weekly, and monthly performance reports. Conduct regular one-on-one sessions and team huddles. Work closely with the QA team to implement feedback and corrective actions. Attend performance review meetings and relay updates to the team. Maintain documentation related to team performance, disciplinary actions, and coaching logs.
Skills Learned
Customer Service Representative
Nov 2019 - May 2020
Assist customers with account-related inquiries, including plan details, usage, billing, and payment. Update account information such as contact details, plan changes, or authorized users. Explain charges on customer bills and resolve discrepancies. Process payments, set up payment arrangements, and provide billing statements. Troubleshoot basic device, network, or service issues.
Skills Learned
Teacher
Jun 2018 - Nov 2019
Skills Learned
Teacher
Jun 2016 - Jun 2018
Skills Learned