Adamson University
BS IN CIVIL ENGINEERING
Adamson University
More Info About Me
I am Nicolas Juan Miguel Sebastian Lerum, known as Nicolas, a competitive and dedicated healthcare professional with three years of extensive experience in medical claims, revenue cycle management (RCM), and prior authorization. My commitment to excellence and detail-oriented approach have consistently driven successful outcomes in my roles, ensuring efficiency and accuracy in healthcare operations.
My Skills and Competencies
Social Media Management
Medical Virtual Assistant
Data Entry
Content Creator
Certificates
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My Experience and Education
2024
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2025
Med-Metrix International PH-I, INC
(Medical Claims Analys)
*Ensured accuracy and compliance of submitted claims with regulatory and payer guidelines.
*Managed denials and appeals, resolving billing errors to recover reimbursements.
*Contributed to timely revenue cycle operations by reducing claim backlogs.
2023
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2024
KMC SOLUTIONS INC.
(MEDICAL CLAIMS SPECIALIST)
*Processed high-volume claims ensuring compliance with insurance company policies.
*Reviewed and corrected billing errors, increasing clean claim rate.
*Handled claims disputes and collaborated with providers to resolve issues efficiently.
2021
-
2023
WNS PHILIPPINES INC.
(PRIOR AUTHORIZATION SPECIALIST & MEDICAL CLAIMS SPECIALIST)
*Processed prior authorization requests for medications and medical procedures.
*Ensured compliance with insurance guidelines while maintaining turnaround standards.
*Worked closely with healthcare providers to secure approvals and reduce delays in patient care.
2020
-
2021
CONCENTRIX CVG INC.
(Appointment Setter)
*Assisted patients in scheduling vaccination appointments during the COVID-19 rollout.
*Responded to inquiries via phone, email, and chat, ensuring excellent customer service.
*Supported pharmacy staff with administrative tasks to streamline operations.
My Services
Social Media Management
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Data Entry / Web Researcher
Search the Internet for information on a wide variety of topics.
Medical Virtual Assistant
Scheduling appointments, handling correspondence, and managing records.