JOHN C.

Virtual Assistant | Claims Specialist

Metro Manila

Overview

A Virtual Assistant and Insurance Billing Specialist experienced in US healthcare and ABA billing, claim denials, AR follow-ups, and revenue recovery. I’m detail-oriented, proactive, and skilled at investigating billing issues and finding solutions to help clients improve their revenue cycle.

Skills and Tools

• Medical Billing
• Insurance Verification
• Benefits Verification
• HIPAA Compliance
• EMR/EHR Systems
• Prior Authorization
• Patient Follow-up
• Claim Denial Management
• Claims Processing
• Claims Submission
• CPT Coding
• Revenue Cycle Management
• Credentialing
• ICD-10 Coding
• Medical Records
• Precertification

Work History

• Billing Specialist

  Essential Billing Solutions, full_time

  Feb 2023 to Present

  Responsibilities Investigate and resolve denied ABA therapy claims. Follow up with US insurance payers regarding claim status and payment issues. Review EOBs/ERAs, identify underpayments, and support claim reprocessing. Maintain claim trackers and provide updates on unresolved billing issues. Coordinate with insurance representatives and escalate complex claims. Achievements Helped identify billing discrepancies and potential revenue recovery opportunities. Improved claim tracking and follow-up accuracy. Supported the resolution of complex denials and payment issues. Contributed to a more organized and efficient claims management process.