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
-
2025
Med-Metrix International PH-I, INC
(Medical Claims Analys)
*Ensure that all submitted claims meet regulatory requirements and insurance company policies.
*Worked in the revenue cycle management industry, focusing on medical claims processing, billing, and ensuring timely reimbursement for healthcare services.
2023
-
2024
KMC SOLUTIONS INC.
(MEDICAL CLAIMS SPECIALIST)
Worked in the revenue cycle management industry, focusing on medical claims
processing, billing, and ensuring timely reimbursement for healthcare services.
2021
-
2023
WNS PHILIPPINES INC.
(PRIOR AUTHORIZATION SPECIALIST & MEDICAL CLAIMS SPECIALIST)
*Processed prior authorization requests, collaborated with healthcare providers,
and ensured compliance with insurance guidelines.
*Managed medical claims processing, reviewed and corrected billing errors, and handled claims disputes and resolutions.
2020
-
2021
CONCENTRIX CVG INC.
(Appointment Setter)
Coordinated appointments for patients, managed scheduling, and provided
administrative support to the pharmacy team.
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.