Rodessa Aranda

Detail-oriented US healthcare professional with 12+ years of experience in medical claims, insurance verification, EOB review, and HIPAA-compliant documentation. Skilled in managing high-volume claim queues within healthcare systems, coordinating medical record requests, and supporting the claims lifecycle from review through resolution — with a consistent 99% accuracy record. Comfortable working independently in a remote, fast-paced environment.

Eager to bring this claims foundation into a billing and claims support role and grow with a mission-driven healthcare team. Available for flexible US business hours.

Transaction Processing Senior Analyst (Claims) - Accenture, Inc. - Cebu City

(2012-09 - 2021-06)

• Reviewed and processed US insurance claims, verifying member, provider, and coverage details for accuracy.
• Reviewed EOB documentation and applied payment, denial, and pricing logic against payer guidelines.
• Managed claim statuses and high-volume claim queues in TriZetto FACETS, maintaining a consistent 99% accuracy rate.
• Validated ICD-9/10, CPT, and HCPCS codes to support accurate, compliant claim processing.
• Investigated denied and unpaid claims, identifying root causes and coordinating resolution.
• Requested and reviewed medical records from providers to support claim adjudication.
• Ensured HIPAA-compliant handling of all PHI in every workflow.
• Served as Trainer and Quality Assurance support for the Medical Records team (2017-2018), reinforcing documentation accuracy.

Contract Drafting Specialist - Accenture, Inc. - Cebu City

(2021-06 - 2024-11)

• Prepared, reviewed, and updated healthcare documents in line with US client requirements and HIPAA standards.
• Maintained organized tracking of all processed records within secure systems.
• Coordinated cross-functionally across time zones to verify data and resolve discrepancies.

Bachelor of Science - Information Technology - University of San Jose-Recoletos (2010)