Hello! My name is Mark Anthony Cruz, but you can call me Mac or Mark. I’m from Cavite and bring 7 years of experience in the healthcare industry.
Most recently, I worked as a Medical Insurance Specialist for 3 years. In this role, I managed insurance verification, pre-authorizations, and claims processing to ensure timely payments for providers and efficient resolution of denied claims. I regularly reviewed errors, submitted appeals, followed up on delayed claims, and coordinated with insurance portals to verify benefits and secure authorizations.
Prior to that, I worked as a Patient Scheduler from 2019 to 2022, managing doctor-patient rotations and facilitating appointments through a centralized scheduling system. This role helped me develop expertise in medical triage logic and HMO policy navigation, ensuring members received timely access to care.
Some key strengths I bring are keen attention to detail, which helps prevent claim denials, and the ability to work independently and resourcefully. I’m reliable, organized, and passionate about supporting both patients and providers. I’m excited about the opportunity to bring this same dedication and energy to your team.
