Jes
Revenue Cycle Management Specialist
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About
Dynamic and adaptable professional with 7+ years of experience in customer support and US durable medical equipment revenue cycle management. Expert in documentation, insurance claim processing, and HIPAA compliance with strong knowledge of original Medicare, commercial insurance, and Medicare Advantage. Proven ability to maintain productivity and accuracy benchmarks while collaborating effectively through digital platforms.
Experience
Documentation & Revenue Cycle Specialist – US Durable Medical Equipment - iPloy Staffing Solutions
(2021-03)
- Ensured strict HIPAA compliance while achieving productivity targets in documentation process.
- Obtained and validated complete qualifying Durable Medical Equipment (DME) documentation to ensure accuracy and compliance for insurance billing.
- Possessed knowledge of Local Determination Coverage (LCD) to ensure durable medical equipment met Medicare insurance qualification standards for accurate insurance billing.
- Performed AR follow-ups, denial management, and applied credits/adjustments.
- Used Parachute Health, GoScripts, and ARM workflows to obtain patient’s medical records effectively.
- Operated within same/similar, Noridian, MyCGS Toolbox systems, Genesys, and Niko Health effectively.
Customer Service Representative – Streaming (Netflix) - Teleperformance
(2019-04 - 2020-08)
- Handled 40–60 inbound calls daily, providing technical/ account support.
- Guided customers through troubleshooting for device compatibility and streaming issues.
- Facilitated payment processing for streaming accounts (Netflix), contributing to overall customer satisfaction.
- Guided customers in creating streaming accounts, ensuring a smooth onboarding experience.
- Consistently exceeded AHT and customer satisfaction targets.
- Leveraged KBI for efficient customer issue resolutions.
Customer Service Representative – Airlines (Singapore Airlines) - Wipro LTD
(2017-10 - 2019-01)
- Assisted passengers with bookings, flight changes, and related enquiries daily.
- Handled 40-50 inbound customer calls each day, providing assistance and information.
- Resolved escalated issues with empathy and professionalism.
- Analyzed customer feedback to improve service quality.
- Recorded customer concerns and outlined follow-up actions to ensure timely resolutions.
Education
Bachelor - Elementary Education - SIBONGA COMMUNITY COLLEGE (2013 - 2017)
