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Victoria

Victoria

Medical Administration | Billing & Claims Specialist | Revenue Cycle Manager

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EdgewaterMember since July 21, 2026
Insurance VerificationHIPAA
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About

Medical administrator, Billing and Revenue Cycle Professional, with over 5 years of experience in healthcare administrative workflows, claims processing fundamentals, insurance verification procedures, patient records management, and healthcare compliance requirements. Proven exceptional organizational skills, attention to detail, confidentiality, and the ability to manage multiple priorities in fast paced environments.

Experience

Operations & Administrative Manager at Petone Group of Company (2022-06 – 2025-04)

  • Oversaw administrative and operational activities across multiple businesses
  • Maintain documentation, reports, and operational records
  • Support management with planning and operational execution
  • Responded to client messages, handled bookings, reservations, and schedules
  • Coordinated business meetings, conferences, and operational planning activities
  • Reviewed targets, budgets, tracked expenses, and supported cost control
  • Coordinated recruitment activities, candidate communication, and onboarding
  • Ensured smooth workflow by aligning teams, resolving operational issues, and improving service efficiency

Medical Billing & Administrative Manager at Spring Rose Hospital (2014-05 – 2021-08)

  • Oversaw daily administrative operations of the hospital, ensuring smooth coordination across departments
  • Managed relationships with over 30+ HMOs and government NHIS, ensuring compliance with service agreements and procedures
  • Coordinated hundreds of claims processing for health insured patients including verification and approvals
  • Supervised billing, claims documentation, and submission to HMOs for reimbursement
  • Liaised with HMO reps and resolved authorization, claims, and service related issues
  • Ensured proper record keeping for insured patients, approvals, and service utilization
  • Coordinated front desk, medical records, and administrative staff to ensure efficiency
  • Monitored admission, discharge/referral documents for insured and private patients
  • Reviewed operational reports, service usage, and administrative performance
  • Coordinated vendors and suppliers for procurement of hospital supplies
  • Ensured compliance with hospital policies, HMO requirements, and NHIS guidelines
  • Handled client complaints, service escalations, and administrative issue resolution

Education

Bachelor of Science – University of Port Harcourt (2020)

Diploma in Health and Social Care – Global Institute of workplace skills (2022)

Diploma in Computer and Business Communication (2014)

Skills

Medical AdministrationBilling & Claims SpecialistRevenue Cycle Manager

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