Healthcare RCM, DME Intake Specialist and Insurance Verification

Overview

Looking for any work (8 hours/day)

at $5.82/hour ($1,120.00/month)

Bachelor's degree

Last Active

June 26th, 2026 (2 days ago)

Member Since

February 5th, 2026

Profile Description

I am a Healthcare Revenue Cycle and DME Intake Specialist with experience in insurance verification, prior authorization, medical documentation review, and patient coordination. Skilled in front-end revenue cycle management, CPAP/DME order processing, and healthcare systems including Brightree, Athenahealth, Parachute health and Availity. Strong background in insurance eligibility, Medicare/Medicaid compliance, and patient support.


CORE COMPETENCIES

• Revenue Cycle Management (End to end-RCM)
• Durable Medical Equipment (DME) Order Intake Processing
• Insurance Verification & Benefits Investigation
• Prior Authorization Processing
• CPT & Diagnosis Code Review
• HIPAA Compliance
• Electronic Medical Records (EMR/EHR)
• Patient & Provider Communication
• Medical Billing Support

WORK EXPERIENCE

DME Service Solutions | (BGC Taguig Metro Manila City)

Intake Specialist (End to end-RCM) / BGC Taguig City (August 2025 – January 2026)

• Communicated directly with clients via Microsoft Outlook and Microsoft Teams to coordinate case resolutions.
• Managed end-to-end processing of Durable Medical Equipment (DME) orders for mobility aids, including wheelchairs, hospital beds, bath equipment, walkers, and canes, ensuring accurate documentation and timely delivery to patients.
• Received and processed faxed DME orders through the Parachute Health portal, reviewing prescriptions and supporting clinical documentation for completeness and accuracy.
• Conducted comprehensive insurance verification and benefits investigation, confirming coverage, prior authorization requirements, and reimbursement eligibility.
• Utilized Brightree to create and finalize sales orders, including CPT and ICD-10 diagnosis coding, documentation review, and patient profile management.
• Verified patient demographic information, delivery addresses, and order details to ensure order accuracy and timely equipment distribution.
• Collaborated with physicians’ offices via inbound and outbound calls, fax, and electronic communication systems to obtain missing prescriptions, chart notes, and required clinical documentation, ensuring completeness and compliance for DME orders.
Access Healthcare Services Manila – Double Dragon Plaza, Pasay City (January 2024 – August 2025)

Client Partner (Front-end RCM)

• Process a minimum of 35 new CPAP resupply orders daily for assigned outpatient accounts using Brightree, ensuring accuracy, productivity, and adherence to client service-level agreements (SLAs).
• Verify patient appointments in athenahealth (Athena Health) and proactively notify patients of upcoming visits to ensure compliance with documentation and payer requirements.
• Perform comprehensive insurance eligibility verification and benefits investigation for commercial payers via Availity and direct outbound calls to insurance representatives to confirm coverage, deductible status, copayments, coinsurance, and authorization requirements.
• Submit and manage prior authorization requests via Carelon portal and ResMed, including tracking approval status, following up with payers to secure timely determinations, and reviewing compliance data reports in ResMed to ensure accurate documentation and adherence to payer requirements.
• Coordinate with medical facilities, physicians’ offices, and patients to obtain prescriptions, sleep study reports, and required clinical documentation to support medical necessity.
• Maintain accurate and updated patient demographic, insurance, and authorization records within Brightree to ensure clean claim submission and minimize denials.
• Proactively identify and resolve front-end RCM issues to prevent billing delays.


Teleperformance - Sucat, Parañaque City
(February
2022 – January 2024)

Medical Billing

• Managed high-volume inbound calls, emails, and chat inquiries from patients and insurance representatives regarding billing, claims status, EOBs, and account balances.
• Processed billing for DME (Durable Medical Equipment) medical supplies, including Dexcom IPCGM/CGM devices, wound care supplies, breast pumps, incontinence supplies, and ostomy supplies.
• Reviewed and interpreted Explanation of Benefits (EOBs) to identify discrepancies and billing errors.
• Submitted initial and corrected insurance claims, including claim adjustments and reconsideration requests via email to payers to resolve billing discrepancies.
• Investigated denied or underpaid claims and coordinated with insurance representatives to request adjustments and ensure accurate reimbursement.
• Generated and distributed patient invoices, processed payments, and conducted outbound calls to discuss balances and collect outstanding payments.
• Verified insurance eligibility, benefits, and authorizations; updated patient records and billing information accurately in the system.

TECHNICAL SKILLS

DME & Billing Systems:

Brightree | Parachute health | Athenahealth | Waystar | Advanced MD

Insurance Portals:

Availity | Noridian | ResMed | Blue Shield Promise | Medi-Cal | Health Net | LA Care | CMS Ordering Data

Other Tools:

Microsoft Office | Microsoft Teams | Google Chat | Dialpad