VALUE:
As a skilled medical biller, I bring expertise in accurate claims
processing and insurance verification. With a track record of
reducing denials and increasing collections, I am dedicated to
ensuring timely and error-free billing to maximize revenue for
healthcare providers.
WORK EXPERIENCE:
January 2022 to August 2023
Phoenix Virtual Solutions
Medical Billing and Collections Specialist:
*Improved the accuracy and efficiency of COVID-related claims processing by verifying patient eligibility and benefits through healthcare portals, ensuring accurate and up-to-date information is obtained.
*Expedited the resolution of COVID-related claim denials by proactively contacting patient's insurance providers to verify denial reasons, resulting in a higher rate of claim approvals.
*Enhanced data entry accuracy and timeliness for COVID-related claims by conducting thorough data entry tasks, ensuring all relevant information is accurately recorded in databases or systems.
*Maximized claim approval rates for COVID-related claims by expertly processing claims, which involved meticulous review of documentation, effective coordination with relevant stakeholders, and strict adherence to industry regulations and company policies.
October 2018 to January 2022
WRS health
Medical Billing Specialist:
*Enhanced the accuracy of patient billing for mental health services by verifying eligibility and benefits through healthcare portals.
*Improved accessibility and assessment of patient information related to mental health services, leading to more informed decision-making.
*Facilitated efficient billing for mental health services by verifying insurance coverage details, including deductibles, co-pays, and coverage limits.
*Reduced billing errors and delays for mental health services by maintaining accurate and up-to-date patient records.
*Accelerated the claims resolution process for mental health services by proactively calling patient's insurance to verify claim denial.
*Increased the chances of successful claim approval for mental health services by initiating contact with insurance companies and gathering detailed information about denial reasons.
*Improved collaboration with insurance representatives to resolve issues and expedite claim approvals for mental health services.
*Ensured compliance with regulatory requirements for mental health services by rigorously reviewing and validating all claim documentation during the processing stage.
February 2016 to October 2018
Teletech Dumaguete
WFM Real Time Specialist:
*Improved workforce management through accurate time and attendance administration.
*Enhanced productivity and accountability by monitoring employee performance against work schedules in real-time.
*Streamlined scheduling processes by efficiently processing schedule change tickets and requests.
*Enabled data-driven decision-making through data analysis and trend spotting.
*Provided valuable insights and actionable recommendations through the generation of informative
Teletech Dumaguete
Customer Service Representative:
*Improved provider-patient communication regarding claims, eligibility, and benefits.
*Increased member satisfaction by advising them on outstanding co-payments.
*Enhanced member engagement and retention by providing in
Skills/Area of Expertise:
*Medical Billing
*Insurance verification
*Patient Claim denials
*Customer service
*HIPAA Trained
*Data entry
*Multitasking
*Detail-oriented
*Adaptability
*Time Management Skills
*Tech Savvy
TOOLS:
*WRS Health(EHR)
*Xifin(EHR)
*Healthcare Portals (Availity, Navinet, MediCal, UHC, Noridian Medicare, Healthnet, LA Care, IEHP)
*NPPES
*Frontrunner
*Phicure
*MS office
*Google Docs/Google forms
Education:
Bachelor of Science in Business Administration
Major in Marketing Management
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