Medical Billing | AR Specialist
Philippines
I am a dedicated Medical Biller and Claims Analyst who can help you manage your billing and insurance claims smoothly. I can assist you with submitting accurate claims, reducing denials, and making sure you receive payments on time. I can help you with insurance verification, charge entry, claims submission, AR follow-ups, denial management, and payment posting. I understand CPT, ICD-10, and HCPCS codes and follow payer guidelines carefully. My goal is to help you improve your cash flow and reduce billing errors. I am detail-oriented, reliable, and always ready to assist you with your medical billing needs so you can focus on patient care.
Med-metrix, full_time
Mar 2024 to Dec 2025
I am a Medical Claims Analyst with almost 1 year of experience in healthcare billing and insurance processes. I help healthcare providers manage claims efficiently and ensure timely payments. My main responsibilities include claims submission, insurance verification and verification of benefits (VOB), payment posting, and accounts receivable follow-ups. I regularly follow up with insurance companies to check claim status, resolve denials, and ensure accurate reimbursements. I also review correspondence from payers and members and handle concerns in a timely and professional manner. I have experience using tools and systems such as Allscripts, Cerner, Availity, Epic, Tebra, and Zendesk. I am detail-oriented, organized, and committed to helping practices improve cash flow and reduce claim issues.
Omega Healthcare, Physical Therapy specialist, full_time
Mar 2023 to Mar 2024
I am a Patient Advocate / Healthcare Executive with almost 1 year of experience assisting patients with their billing and financial concerns. I focus on providing clear information, support, and empathy to ensure patients feel heard and understood. My responsibilities include taking payments over the phone, explaining medical bills in a clear and simple way, and helping patients understand their charges, copays, and deductibles. I assist with patient refund requests and make sure concerns are handled accurately and in a timely manner. I also support patients in setting up payment plans and guiding them through financial assistance programs when needed. I always communicate with empathy, patience, and professionalism to create a positive patient experience while helping the organization maintain smooth billing operations.
Alorica/ BCBS Insurance, full_time
Jan 2016 to Dec 2022
I am a Correspondence / Claims Adjuster with 6 years of experience in handling provider inquiries and resolving claim-related concerns. I specialize in reviewing claim denials, providing accurate explanations, and ensuring timely resolution of issues. My main responsibility is responding to providers’ inquiries regarding members’ claim denials through written correspondence. I carefully review denied claims, analyze the reason for denial, and take appropriate action to resolve the issue in a timely and accurate manner. I also update and maintain members’ demographic information to ensure records are correct and up to date. I am detail-oriented, organized, and committed to delivering clear communication and efficient claim processing to support both providers and members.