Raniel

Prior Authorization Specialist

45 ID PROOF
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Overview

Looking for any work (8 hours/day)

at $4.97/hour ($960.00/month)

Bachelor's degree

Last Active

July 2nd, 2026 (7 days ago)

Member Since

June 9th, 2026

Profile Description

My name is Raniel a. Cueto, and I have more than 5 years of experience in the US healthcare industry, specializing in Revenue Cycle Management and Medical Billing. Throughout my career, I have handled the complete revenue cycle process, from patient eligibility and benefits verification all the way through medical billing, claims processing, denial management, collections, and cash posting. My experience includes working on both the payer and provider sides, which has given me a comprehensive understanding of the healthcare reimbursement process. I have worked as a Claims Adjuster, Collections Specialist, Medical Biller, and most recently as a Medical Billing Team Supervisor, where I led a team of billing professionals for five years. In that role, I was responsible for overseeing daily billing operations, monitoring performance metrics, ensuring claim accuracy, maintaining compliance, and helping improve overall revenue cycle efficiency. I have extensive experience billing both UB-04 and CMS-1500 claim forms, resolving claim denials and rejections, following up on outstanding accounts receivable, and analyzing reports to identify opportunities for process improvement and revenue recovery. In addition to my billing experience, I have spent more than five years working as a Virtual Assistant for medical providers, which strengthened my ability to work independently, communicate effectively with healthcare teams, and manage multiple priorities in a remote environment. I have supported a variety of medical specialties, including Dermatology, Pathology, OB-GYN, Cardiology, Mental Health, Home Health, and General Medicine. This diverse experience has allowed me to adapt quickly to different workflows, payer requirements, and documentation standards. I am also proficient in several EMR and practice management systems, including ModMed, EZDerm, Nextech, eClinicalWorks, OfficeAlly, Kareo, SimplePractice, AMD, OptiMantra, and AxisCare. Additionally, I am experienced with communication platforms such as Nextiva, Skype, RingCentral, Grasshopper, and Vonage. I am passionate about helping healthcare organizations maximize reimbursements, reduce denials, and streamline billing operations. I believe my extensive experience, leadership background, and commitment to accuracy would allow me to make an immediate positive impact on your team. Thank you again for your time and consideration. I look forward to the opportunity to discuss how my experience can contribute to your organization's success. Have a great day.

Top Skills

Experience: 5 - 10 years

My name is Raniel a. Cueto, and I have more than 5 years of experience in the US healthcare industry, specializing in Revenue Cycle Management and Medical Billing. Throughout my career, I have handled the complete revenue cycle process, from patient eligibility and benefits verification all the way through medical billing, claims processing, denial management, collections, and cash posting. My experience includes working on both the payer and provider sides, which has given me a comprehensive understanding of the healthcare reimbursement process. I have worked as a Claims Adjuster, Collections Specialist, Medical Biller, and most recently as a Medical Billing Team Supervisor, where I led a team of billing professionals for five years. In that role, I was responsible for overseeing daily billing operations, monitoring performance metrics, ensuring claim accuracy, maintaining compliance, and helping improve overall revenue cycle efficiency. I have extensive experience billing both UB-04 and CMS-1500 claim forms, resolving claim denials and rejections, following up on outstanding accounts receivable, and analyzing reports to identify opportunities for process improvement and revenue recovery. In addition to my billing experience, I have spent more than five years working as a Virtual Assistant for medical providers, which strengthened my ability to work independently, communicate effectively with healthcare teams, and manage multiple priorities in a remote environment. I have supported a variety of medical specialties, including Dermatology, Pathology, OB-GYN, Cardiology, Mental Health, Home Health, and General Medicine. This diverse experience has allowed me to adapt quickly to different workflows, payer requirements, and documentation standards. I am also proficient in several EMR and practice management systems, including ModMed, EZDerm, Nextech, eClinicalWorks, OfficeAlly, Kareo, SimplePractice, AMD, OptiMantra, and AxisCare. Additionally, I am experienced with communication platforms such as Nextiva, Skype, RingCentral, Grasshopper, and Vonage. I am passionate about helping healthcare organizations maximize reimbursements, reduce denials, and streamline billing operations. I believe my extensive experience, leadership background, and commitment to accuracy would allow me to make an immediate positive impact on your team. Thank you again for your time and consideration. I look forward to the opportunity to discuss how my experience can contribute to your organization's success. Have a great day.

Other Skills

Basic Information

Age
23
Gender
Male
Website
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Address
TIAONG, QUEZON
Tests Taken
None
Government ID
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