Professional Summary
Results-driven healthcare support and quality analyst with 8+ years of experience in medical billing, provider support, and patient services across U.S. and Philippine healthcare systems. Skilled in medical records management, homecare scheduling, AR billing, denial management, and compliance auditing. Adept at coaching teams, streamlining workflows, and ensuring adherence to HIPAA and data privacy standards. Recognized for strong communication, analytical problem-solving, and a commitment to delivering efficient, compassionate care experiences.
Core Skills
- Medical Billing & Claims Resolution
- AR Aging Analysis & Denial Management
- Medical Records Handling & EMR Documentation (Lightning Step, Kipu, Sunwave)
- Homecare Scheduling & Patient Coordination
- SOP Creation & Workflow Optimization
- Quality Auditing & Performance Improvement
- Tea
- HIPAA Compliance & Data Privacy
Professional Experience
Scheduler & Hours Biller – Amazing Hearts LLC (2025–2026)
- Coordinated caregiver schedules and tracked hours for accurate billing.
- Ensured compliance with HIPAA and streamlined workflow documentation.
AR Biller & Medical Records Specialist – Medusind Company (2022–2025)
- Managed claims submission, reimbursement, and medical record reconciliation.
- Generated billing performance dashboards and supported audits.
Quality Analyst – DME Serve Philippines (2020–2022)
- Developed SOPs, conducted audits, and delivered client calibration sessions.
- Prepared business review presentations and mentored staff for quality improvement.
Provider Service Advocate / Coach Mentor – Optum Global Solutions (2018–2020)
- Handled provider inquiries on claims and authorizations.
- Mentored agents, conducted call audits, and improved compliance and service KPIs.
“There are just so many skills that the Filipino market has that they bring to the table. It's been amazing.”
Samori Coles
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