Collection Specialist | Medical Billing
Davao del Sur
I bring over five years of expertise in collections and healthcare billing, with proven strengths in denial management, payment reconciliation, and insurance verification. My ability to streamline workflows, reduce outstanding balances, and ensure compliance adds measurable value to revenue cycle operations, while my commitment to accuracy and collaboration supports both providers and patients.
Vector Outsourcing Solutions, full_time
Nov 2022 to Oct 2024
- Handled outpatient claims for diagnostic laboratories, nurse practitioners, and gastroenterology physicians, ensuring accurate processing and timely reimbursement. - Reduced outstanding balances by efficiently managing aging reports and prioritizing high-urgency claims, improving cash flow for providers. - Increased denial overturn rate by preparing and submitting well-documented appeals, securing retro-authorizations, and proactively communicating with insurance payers. - Identified recurring denial issues and payer trends, implementing corrective measures that minimized future rejections and streamlined claim resolution. - Maintained compliance and transparency by documenting all claim actions, posting payments and adjustments accurately, and keeping detailed notes in the billing system. - Strengthened revenue cycle operations through thorough insurance verification, denial investigation, and consistent follow-ups, contributing to higher collection rates.
Focusinc Group Corp., full_time
Jan 2019 to Oct 2022
- Handled inpatient claims for skilled nursing facilities, ensuring accurate processing and timely reimbursement. - Reduced outstanding balances by efficiently managing aging reports and prioritizing claims based on urgency, improving facility cash flow. - Strengthened payer relationships through consistent communication, securing faster claim status updates and resolution. - Improved denial recovery rates by investigating rejected claims and submitting reconsideration requests with supporting documentation. - Enhanced compliance and transparency by maintaining detailed notes in the billing system and tracking all claim-related actions. - Increased operational efficiency through thorough insurance verification and proactive follow-ups, contributing to higher collection rates.