John P.

Medical Biller

Batangas

Overview

Hi there! Are you looking to reduce claim denials, accelerate your cash flow, and ensure your revenue cycle runs like clockwork? I am a dedicated Medical Billing & RCM Specialist with extensive experience managing end-to-end revenue cycles for U.S. healthcare providers. I specialize in safeguarding practice revenue, catching billing errors early, and maximizing reimbursements. 🌟 Why Work With Me? Specialized Expertise: Deep, hands-on experience in Ophthalmology, Mental Health, and Pediatric Therapy (PT/OT/ST), including niche modifiers and specific documentation guidelines. End-to-End Execution: Highly proficient in major clearinghouses and portals (ClaimMD, TriZetto, Availity) for clean claim submissions, proactive denial prevention, DME pre-qualification, and AR recovery. Data-Driven Accuracy: Backed by a strong background as a data analyst, I manage high volumes of complex billing data with exceptional organization. Full Alignment: Fully available to match any U.S. timezone to collaborate live with your front desk and clearinghouses.

Skills and Tools

• Medical Billing
• Benefits Verification
• Insurance Verification
• EMR/EHR Systems
• HIPAA Compliance
• Practice Fusion
• Kareo
• Patient Scheduling
• Medical Scheduling
• Medical Terminology
• Claims Submission
• Claims Processing
• Claim Denial Management
• Prior Authorization
• Precertification
• Patient Communication
• Patient Follow-up
• Revenue Cycle Management
• SimplePractice
• Mental Health Support
• OptiMantra
• ModMed
• Simple Practice
• PracticePro
• Charm
• Encoda
• ClaimMD
• Trizetto
• OpenPM

Work History

• Billing Assistant / RCM Assistant (Psychiatric / Mental Health)

  NEW LEAF BILLING, CODING, and AUDITING NOV 2025 - FEB 2026 SOLUTIONS, LLCNEW LEAF BILLING, CODING, and AUDITING SOLUTIONS, LLC, contract

  Nov 2025 to Feb 2026

  Provide medical billing support to in house provider Provide medical billing services to third party providers Same day benefits and eligibility verification Claims Submission Denial management Aging claims management Patient collaboration / outreach Insurance collaboration / Invoice generation Payment posting Payment reconciliation A/R reporting

• Medical Biller / AR Assistant (Pediatric Physical, Occupational, Speech Therapy)

  Virtual Rockstar, contract

  Jun 2025 to Sep 2025

  Submitting claims Reviewing patient bills Posting charges and payments Communicating with patients and insurers Revenue cycle management (RCM) by ensuring that services rendered are properly documented and reimbursed. Tracking unpaid claims and patient balances Following up on delayed or denied claims Reconciling account discrepancies Implementing payment plans and reminders Generating A/R reports

• Medical Biller / Admin Assistant (Opthalmology)

  MedVA, contract

  Nov 2023 to Jun 2025

  Accept incoming billing calls (payments, disputes, and others) Outbound calls to patients,insurance and other facilities Process payments Insurance verification, benefits and eligibility Patient information update Prior or Pre-authorization Claims processing Care coordination Scheduling