Current Employment Status:
Hired Full Time on Dec 3, 2025

Khryslene

Medical Biller | RCM Specialist | Healthcare AR Specialist

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Overview

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

at $5.63/hour ($1,090.91/month)

Bachelors degree

Last Active

July 10th, 2026 (12 days ago)

Member Since

May 25th, 2024

Profile Description

An experienced contact center operator for over twelve (12) years. Worked in the healthcare industry for 4+ years.

Allied Health Professional and HIPAA trained and certified.

With proven experience in managing Medical Billing, Healthcare Account Receivable, Claims Management, Denial Management, Credentialing, Prior Authorization, Insurance Verification.

Proficient in using EHR/EMR systems such as Collaborate MD, Advanced MD, Practice Fusion, Tebra, Promt, Office Ally, and Athena Health. Skilled in payer portals, including Availity, NaviNet, and UHC.

Top Skills

Experience: 2 - 5 years

Assess and monitor CSR/TSR services and performance. Conducts regular quality audits, assessments, and feedback sessions to determine areas of improvement to ensure that the quality standards are always met.

Other Skills

Experience: 2 - 5 years

(Healthcare) Track and manage outstanding accounts receivable to ensure timely payments. Follow up with insurance companies and patients to resolve unpaid claims and balances.

Experience: 2 - 5 years

(Healthcare) Submit insurance claims; making sure documents submitted are with correct information and attachments.

Experience: Less than 6 months

Prepare, review, and transmit claims using billing software / Handle insurance denials, adjustments, and appeals.

Follow up on denied or rejected claims, ensuring resubmissions are completed in a timely manner.

Experience: 2 - 5 years

Experience: 2 - 5 years

Experience: 2 - 5 years

Experience: 1 - 2 years

Review and process prior authorization requests for medical services, procedures, and medications

Experience: 1 - 2 years

(Healthcare) Verify patient insurance coverage by viewing web portals, requesting faxes, and calling insurance companies.

Basic Information

Age
34
Gender
Female
Website
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Address
Cebu, Cebu
Tests Taken
None
Government ID
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