Justin J.

Healthcare VA | CSR | Medical Biller

Laguna, Calamba, Philippines

Overview

I am a results-driven Healthcare Operations Professional with a deep understanding of the US healthcare ecosystem. I bridge the gap between clinical services and financial reimbursement by mastering both front-end eligibility and back-end revenue cycle intricacies. Core Expertise: • Full-Cycle Medical Billing: Expertly translating healthcare services into coded claims and managing the end-to-end revenue cycle. • Strategic Denial Management: Identifying denial reasons, resolving discrepancies, and securing accurate reimbursements. • Insurance Navigation: Proficient in verifying plan eligibility, determining prior authorizations, and managing credentialing. • Administrative Support: Skilled in patient scheduling, payment posting, and professional inbound/outbound coordination. What do I bring to the table? • Medical Billing • Revenue Cycle Management (RCM) • Denial Management • Claims Analysis • AR Follow-up • Payment Posting • Insurance Verification • Prior Authorization • Patient Scheduling • Inbound & Outbound Calling I am passionate about streamlining administrative workflows so healthcare teams can focus on what matters most: patient care.

Skills and Tools

• Revenue Cycle Management
• Insurance Verification
• Claim Denial Management
• Claims Processing
• Medical Billing
• Patient Communication
• Patient Scheduling

Work History

• Medical Biller

  All Data Health, contract

  Apr 2025 to Oct 2025

• Member Services Associate

  Wellcare RX, contract

  Sep 2024 to Mar 2025

• Provider Services Associate

  Anthem BCBS, full_time

  Oct 2023 to Aug 2024

• Customer Service Representative

  BCBS, full_time

  Oct 2022 to May 2023