Roxane

MEDICAL BILLER, ACCOUNT RECEIVABLE SPECIALIST, APPEALS SPECI

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Overview

Looking for full-time work (8 hours/day)

at $4.96/hour ($960.00/month)

Associates degree

Last Active

July 14th, 2026 (yesterday)

Member Since

February 21st, 2023

Profile Description

Healthcare Revenue Cycle professional with 5 years of combined experience, including 3 years as an Account Receivable specialist and 2 years as an Appeals Specialist. Experienced in analyzing EOBs/ERAs, resolving underpayments and denials, managing aging claims, sending medical records and appeals, and ensuring timely follow-ups in compliance  with payer guidelines. Proven ability to maintain PHI confidentiality and comply with HIPAA, payer guidelines and internal compliance standards. Highly proficient in ACE system, Epic, Xifin and Meditech for end to end AR management, payment posting, denial resolution and appeals processing. Knowledge of working Availity, VI Web and multiple insurance/IPA portals for eligibility verification, check claim status,  authorization and appeals submission. 

Top Skills

Verify the denial of the claims, doing follow up calls to the insurance companies, Sending appeals and patient verification

Experienced in end to end process analyzing EOBs/ERAs, resolving underpayments and denials, managing aging claims, sending medical records and appeals, and ensuring timely follow-ups in compliance with payer guidelines.

Other Skills

Experience: 2 - 5 years

Healthcare Revenue Cycle professional with 5 years of combined experience, including 3 years as an Account Receivable specialist and 2 years as an Appeals Specialist.

Experience: 2 - 5 years

Verifying patient eligibility, benefits coverage limitaton, deductibles, co insurance and copays, auth requirements prior to service

Basic Information

Age
34
Gender
Female
Website
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Address
ANTIPOLO CITY, RIZAL
Tests Taken
IQ
Score:  128
DISC
Dominance: 36
Influence: 29
Steadiness: 26
Compliance: 9
English
C2(Advanced/Mastery)
Government ID
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