

JIMMAR VICTORIOSO | Assistant Manager
Cebu City, Philippines
Experienced professional with a background in Global People Operations, Claims Analysis, and Nursing. Skilled in managing teams, analyzing r... Read more
Experienced professional with a background in Global People Operations, Claims Analysis, and Nursing. Skilled in managing teams, analyzing reports, and processing medical claims while ensuring excellent service delivery. Strong communicator and problem-solver, committed to improving processes and supporting efficient operations. Read less
Experienced professional with a background in Global People Operations, Claims Analysis, and Nursing. Skilled in managing teams, analyzing reports, and processing medical claims while ensuring excellent service delivery. Strong communicator and problem-solver, committed to improving processes and su... Read more
Experienced professional with a background in Global People Operations, Claims Analysis, and Nursing. Skilled in managing teams, analyzing reports, and processing medical claims while ensuring excellent service delivery. Strong communicator and problem-solver, committed to improving processes and supporting efficient operations. Read less
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Language Proficiency
- English: Fluent
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Work Experience
ASSISTANT MANAGER, Global People Operations
Wipro Philippines Inc
Cebu City, Philippines
My Responsibilities
• Lead onboarding screening team, supporting stakeholders. • Ensure compliance with Screening Policy and regulation... Read more
• Lead onboarding screening team, supporting stakeholders. • Ensure compliance with Screening Policy and regulations. • Oversee background screening for all employees. • Resolve verification discrepancies with managers. • Support audits and Vendor Performance Reviews. Read less
• Lead onboarding screening team, supporting stakeholders. • Ensure compliance with Screening Policy and regulations. • Oversee background screening for all employees. • Resolve verification discrepancies with managers. ... Read more
• Lead onboarding screening team, supporting stakeholders. • Ensure compliance with Screening Policy and regulations. • Oversee background screening for all employees. • Resolve verification discrepancies with managers. • Support audits and Vendor Performance Reviews. Read less
Skills developed in this experience
Compliance Onboarding Vendor Management background screening Human Resources Service Delivery Project Management Auditing +5 more
7 years 11 months
May 2017 - present
May 2017 - present
REPORT SPECIALIST
CIBI Information Inc
Cebu City, Philippines
My Responsibilities
• Pre-screen subject profiles and ensure submission of requirements. • Verify subject data through matching, verifi... Read more
• Pre-screen subject profiles and ensure submission of requirements. • Verify subject data through matching, verifications, and interviews. • Lead monthly compliance and business review meetings with clients. • Analyze trends and data to identify improvements. • Perform QA on reporting analysis for other groups Read less
• Pre-screen subject profiles and ensure submission of requirements. • Verify subject data through matching, verifications, and interviews. • Lead monthly compliance and business review meetings with clients. • Analyze t... Read more
• Pre-screen subject profiles and ensure submission of requirements. • Verify subject data through matching, verifications, and interviews. • Lead monthly compliance and business review meetings with clients. • Analyze trends and data to identify improvements. • Perform QA on reporting analysis for other groups Read less
Skills developed in this experience
Customer Service Quality Management Customer Satisfaction Service Delivery Internal Audit Compliance +3 more
5 years 10 months
Jul 2011 - May 2017
Jul 2011 - May 2017
SENIOR CLAIMS ANALYST
CIBI Information Inc
Cebu City, Philippines
My Responsibilities
• Manage client communications and address concerns. • Lead and mentor inpatient coding team, ensuring growth and p... Read more
• Manage client communications and address concerns. • Lead and mentor inpatient coding team, ensuring growth and performance. • Provide training, support, and updates on coding standards and regulations. • Oversee accurate inpatient coding and claims processing (professional fees, hospital bills). • Monitor workflow, implement process improvements, and approve claims as needed. Read less
• Manage client communications and address concerns. • Lead and mentor inpatient coding team, ensuring growth and performance. • Provide training, support, and updates on coding standards and regulations. • Oversee accur... Read more
• Manage client communications and address concerns. • Lead and mentor inpatient coding team, ensuring growth and performance. • Provide training, support, and updates on coding standards and regulations. • Oversee accurate inpatient coding and claims processing (professional fees, hospital bills). • Monitor workflow, implement process improvements, and approve claims as needed. Read less
Skills developed in this experience
Billing And Coding Medical Coding Medical Billing HIPAA Healthcare Compliance Healthcare Management Leadership Skills +5 more
1 year 3 months
Apr 2010 - Jul 2011
Apr 2010 - Jul 2011
MEDICAL CLAIMS ANALYST
Maxicare Healthcare Corporation
Cebu City, Philippines
My Responsibilities
• Process and adjudicate Professional Fee and Hospital Bill claims. • Review medical records and assign correct ICD... Read more
• Process and adjudicate Professional Fee and Hospital Bill claims. • Review medical records and assign correct ICD-10 codes. • Verify insurance coverage and submit claims to insurers.• Resolve claim inquiries and maintain HIPAA compliance. • Collaborate with providers and stay updated on coding guidelines. Read less
• Process and adjudicate Professional Fee and Hospital Bill claims. • Review medical records and assign correct ICD-10 codes. • Verify insurance coverage and submit claims to insurers.• Resolve claim inquiries and mainta... Read more
• Process and adjudicate Professional Fee and Hospital Bill claims. • Review medical records and assign correct ICD-10 codes. • Verify insurance coverage and submit claims to insurers.• Resolve claim inquiries and maintain HIPAA compliance. • Collaborate with providers and stay updated on coding guidelines. Read less
Skills developed in this experience
Billing And Coding Medical Billing Medical Coding Medical Terminology HIPAA Compliance Nursing Healthcare +5 more
1 year 4 months
Dec 2008 - Apr 2010
Dec 2008 - Apr 2010
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Educational Experience
Bachelor of Science in Nursing
University of the Visayas, Philippines
2002-2006
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Language Proficiency
- English: Fluent
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Work Experience
ASSISTANT MANAGER, Global People Operations
Wipro Philippines Inc
Cebu City, Philippines
My Responsibilities
• Lead onboarding screening team, supporting stakeholders. • Ensure compliance with Screening Policy and regulation... Read more
• Lead onboarding screening team, supporting stakeholders. • Ensure compliance with Screening Policy and regulations. • Oversee background screening for all employees. • Resolve verification discrepancies with managers. • Support audits and Vendor Performance Reviews. Read less
• Lead onboarding screening team, supporting stakeholders. • Ensure compliance with Screening Policy and regulations. • Oversee background screening for all employees. • Resolve verification discrepancies with managers. ... Read more
• Lead onboarding screening team, supporting stakeholders. • Ensure compliance with Screening Policy and regulations. • Oversee background screening for all employees. • Resolve verification discrepancies with managers. • Support audits and Vendor Performance Reviews. Read less
Skills developed in this experience
Compliance Onboarding Vendor Management background screening Human Resources Service Delivery Project Management Auditing +5 more
7 years 11 months
May 2017 - present
May 2017 - present
REPORT SPECIALIST
CIBI Information Inc
Cebu City, Philippines
My Responsibilities
• Pre-screen subject profiles and ensure submission of requirements. • Verify subject data through matching, verifi... Read more
• Pre-screen subject profiles and ensure submission of requirements. • Verify subject data through matching, verifications, and interviews. • Lead monthly compliance and business review meetings with clients. • Analyze trends and data to identify improvements. • Perform QA on reporting analysis for other groups Read less
• Pre-screen subject profiles and ensure submission of requirements. • Verify subject data through matching, verifications, and interviews. • Lead monthly compliance and business review meetings with clients. • Analyze t... Read more
• Pre-screen subject profiles and ensure submission of requirements. • Verify subject data through matching, verifications, and interviews. • Lead monthly compliance and business review meetings with clients. • Analyze trends and data to identify improvements. • Perform QA on reporting analysis for other groups Read less
Skills developed in this experience
Customer Service Quality Management Customer Satisfaction Service Delivery Internal Audit Compliance +3 more
5 years 10 months
Jul 2011 - May 2017
Jul 2011 - May 2017
SENIOR CLAIMS ANALYST
CIBI Information Inc
Cebu City, Philippines
My Responsibilities
• Manage client communications and address concerns. • Lead and mentor inpatient coding team, ensuring growth and p... Read more
• Manage client communications and address concerns. • Lead and mentor inpatient coding team, ensuring growth and performance. • Provide training, support, and updates on coding standards and regulations. • Oversee accurate inpatient coding and claims processing (professional fees, hospital bills). • Monitor workflow, implement process improvements, and approve claims as needed. Read less
• Manage client communications and address concerns. • Lead and mentor inpatient coding team, ensuring growth and performance. • Provide training, support, and updates on coding standards and regulations. • Oversee accur... Read more
• Manage client communications and address concerns. • Lead and mentor inpatient coding team, ensuring growth and performance. • Provide training, support, and updates on coding standards and regulations. • Oversee accurate inpatient coding and claims processing (professional fees, hospital bills). • Monitor workflow, implement process improvements, and approve claims as needed. Read less
Skills developed in this experience
Billing And Coding Medical Coding Medical Billing HIPAA Healthcare Compliance Healthcare Management Leadership Skills +5 more
1 year 3 months
Apr 2010 - Jul 2011
Apr 2010 - Jul 2011
MEDICAL CLAIMS ANALYST
Maxicare Healthcare Corporation
Cebu City, Philippines
My Responsibilities
• Process and adjudicate Professional Fee and Hospital Bill claims. • Review medical records and assign correct ICD... Read more
• Process and adjudicate Professional Fee and Hospital Bill claims. • Review medical records and assign correct ICD-10 codes. • Verify insurance coverage and submit claims to insurers.• Resolve claim inquiries and maintain HIPAA compliance. • Collaborate with providers and stay updated on coding guidelines. Read less
• Process and adjudicate Professional Fee and Hospital Bill claims. • Review medical records and assign correct ICD-10 codes. • Verify insurance coverage and submit claims to insurers.• Resolve claim inquiries and mainta... Read more
• Process and adjudicate Professional Fee and Hospital Bill claims. • Review medical records and assign correct ICD-10 codes. • Verify insurance coverage and submit claims to insurers.• Resolve claim inquiries and maintain HIPAA compliance. • Collaborate with providers and stay updated on coding guidelines. Read less
Skills developed in this experience
Billing And Coding Medical Billing Medical Coding Medical Terminology HIPAA Compliance Nursing Healthcare +5 more
1 year 4 months
Dec 2008 - Apr 2010
Dec 2008 - Apr 2010
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Educational Experience
Bachelor of Science in Nursing
University of the Visayas, Philippines
2002-2006
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Skills I Possess
Compliance Acquired from the course "HIPAA Compliance: A Complete Guide"
Healthcare Acquired from the course "Diploma in Nursing Leadership and Care Management"
Billing And Coding Acquired from the course "Medical Billing and Coding: ICD 10 and 11"
Information Security Acquired from the course "HIPAA Compliance: A Complete Guide"
HIPAA Acquired from the course "HIPAA Compliance: A Complete Guide"
Document Management Acquired from the course "HIPAA Compliance: A Complete Guide"
Human Resources Acquired from the course "Essentials of SAP HCM (Human Capital Management)"
Nursing Acquired from the course "Diploma in Nursing Leadership and Care Management"
Business Process Management
Risk Management Acquired from the course "Introduction to Certified Information Security Manager (CISM)"
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Interests & Hobbies
Sports & Fitness Dance Reading
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