April

Medical Billing Specialist

80 ID PROOF
Verified
With Timeproof
contact
mark as hired

Overview

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

at $8.32/hour ($1,600.00/month)

Bachelors degree

Last Active

June 26th, 2026 (2 days ago)

Member Since

December 14th, 2024

Profile Description

Experiences

Georgia Behavioral Services
Position: Medical Biller
July 2025 - January 2025

• Check Paid & Denied Claims.
• Submit appeals to insurance.
• Ensure patient’s information is accurate and up to date. 
• Perform completion of claims to payers. 
• Conduct duties in a professional and timely manner. 
• Submit billing data to appropriate insurance providers.
• Process claims and resolve denials to ensure maximum reimbursement. 
• Identify issues to appropriate areas for review and response to expedite claim resolution. Insurance verification, authorization and appeals. 
• Analyze EOB’s and remits.

Stratford Cresson Partner LLC
Position: Medical Biller
January 2025 - April 15, 2025

• Check Paid & Denied Claims.
• Submit appeals to insurance.
• Ensure patient’s information is accurate and up to date. 
• Perform completion of claims to payers. 
• Conduct duties in a professional and timely manner. 
• Submit billing data to appropriate insurance providers.
• Process claims and resolve denials to ensure maximum reimbursement. 
• Identify issues to appropriate areas for review and response to expedite claim resolution. Insurance verification, authorization and appeals. 
• Analyze EOB’s and remits.

Alaska Billing Services
Position: Medical Biller
February 2021 - December 28,2024

• Perform posting charges.
• Ensure patient’s information is accurate and up to date. 
• Perform completion of claims to payers. 
• Conduct duties in a professional and timely manner. 
• Submit billing data to appropriate insurance providers.
• Process claims and resolve denials to ensure maximum reimbursement. 
• Identify issues to appropriate areas for review and response to expedite claim resolution. Insurance verification, authorization and appeals. 
• Analyze EOB’s and remits.

Wipro Philippines
March 2019 - January 2021
Position: Customer Service Associate
Account: CIGNA
• Accept incoming calls fro ---------- mber/patient. 
• Process monthly premium of the member/patient. 
• Track member/patient insurance record. 
• Manage patient Eligibility.

Position: Case Manager
Account: Change Healthcare
• Managing leads by doing outbound call’s.
• Determine if the lead will qualify to Medicare Advantage Plan.
• Check lead if he/she is under COBRA plan. 
• Follow up leads hand & hand.

Concentrix Philippines
January 2017 - February 2019

Position: Customer Service Associate
Account: CIGNA Provider services
• Accept incoming inbound calls from provider. 
• Check & process Medical Claim. 
• Check & Process Medical Appeals. 
• Check member/patient Eligibility & Benefits
Check provider’s participation. 
• Provide queries about member/patient insurance. 
• Manage OAP & HMO Plans.

Position: Customer Service Associate
Account: CIGNA Member services
• Accept incoming inbound calls fro ---------- mber/patient. 
• Check & process Medical Claim. 
• Check & Process Medical Appeals.
• Check member/patient Eligibility & Benefits
Check provider’s participation. 
• Provide queries about member/patient insurance. 
• Manage OAP & HMO Plans.

Top Skills

Experience: 5 - 10 years

Experience: 5 - 10 years

Experience: 2 - 5 years

Other Skills

Basic Information

Age
30
Gender
Male
Website
Sign Up with Pro Account to View
Address
Lapu-Lapu, Cebu
Tests Taken
IQ
Score:  111
DISC
Dominance: 29%
Influence: 28%
Steadiness: 23%
Compliance: 20%
English
C2(Advanced/Mastery)
Government ID
Sign Up with Pro Account to View

“I'm very thankful for what OFS and Onlinejobs.ph has done for me!”

Sam Sapp

SEE MORE REAL RESULTS

“They are wonderful highly skilled people”

- Shepard Humphries

Onlinejobs.ph "ID Proof" indicates if "they are who they say they are".

It DOES NOT indicate skill level.

ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.

It's intended to help employers know who they're talking to is real, and not a fake identity.

Read More »