Medical Biller, Healthcare Collection Rep
Metro Manila
I am a healthcare insurance claims specialist with expertise in denial management, reimbursement optimization, and medical billing. With hands-on experience in ICD‑10, CPT, and HCPCS coding, I help providers and organizations streamline claims processing, reduce denials, and maximize revenue recovery. My background includes working with multi‑specialty ambulatory practices, insurance accounts, and collections, giving me a comprehensive understanding of payer requirements and patient account management. I am detail‑oriented, efficient, and committed to delivering accurate results under tight deadlines. Beyond healthcare, I also bring skills in administrative support, customer advocacy, and virtual assistance, making me a versatile partner for clients seeking reliable back‑office support.
Optum, full_time
Nov 2021 to May 2026
Processed and reviewed medical claims for multi‑specialty ambulatory practices, ensuring compliance with payer requirements and reducing claim denials. Managed collections and reimbursement activities, consistently meeting monthly recovery targets and improving cash flow for providers. Applied ICD‑10, CPT, and HCPCS coding knowledge to validate claims accuracy and support proper billing practices. Collaborated with insurance representatives and patients to resolve discrepancies, providing clear explanations and maintaining high customer satisfaction. Contributed to denial management strategies that reduced average denial rates and accelerated reimbursement timelines. Maintained detailed records and reports to support audits and financial reviews.