Medical Billing/Escalation Group
Tarlac
I have over 3 years of experience in Medical Billing and Revenue Cycle Management, specializing in Accounts Receivable, insurance claims processing, denial management, and patient billing. My background includes Account Receivable Specialist/ AR Follow Up in anesthesia billing, where I handled insurance follow-ups, investigated claim statuses, resolved claim issues, and submitted both electronic and paper claims to ensure timely reimbursement. I have extensive experience working with various insurance payers, including Medicare, Medicaid, BCBS, UnitedHealthcare, Humana, Aetna, Cigna, and Tricare. I also have experience in Customer Service Specialist in radiology billing, managing inbound calls from patient and insurance representatives regarding facility and provider bill. In this role, I explained Explanation of Benefits (EOBs), reviewed outstanding balances if there is copay, coinsurance, or deductible, I also verified insurance coverage, processed payments, and educated patients about their financial responsibilities. Additionally, I worked as part of an Office Support Group or Escalation Team, where I resolved complex billing concerns, appealed denied claims, researched discrepancies, and ensured compliance with HIPAA regulations. I was also entrusted as a Subject Matter Expert (SME) and Line Trainer, mentoring new team members, supporting quality audits, and helping improve team performance.
Knack RCM, full_time
Mar 2025 to Apr 2026
Office Support Group or Escalation Team, where I resolved complex billing concerns, appealed denied claims, researched discrepancies, and ensured compliance with HIPAA regulations.
Knack RCM, full_time
Mar 2025 to Apr 2026
Subject Matter Expert (SME) and Line Trainer, mentoring new team members, supporting quality audits, and helping improve team performance.
Ventra Health, full_time
May 2024 to Mar 2025
Customer Service Specialist in radiology billing, managing inbound calls from patient and insurance representatives regarding facility and provider bill. In this role, I explained Explanation of Benefits (EOBs), reviewed outstanding balances if there is copay, coinsurance, or deductible, I also verified insurance coverage, processed payments, and educated patients about their financial responsibilities.
Ventra Health, full_time
Apr 2023 to May 2024
Account Receivable Specialist/ AR Follow Up in anesthesia billing, where I handled insurance follow-ups, investigated claim statuses, resolved claim issues, and submitted both electronic and paper claims to ensure timely reimbursement. I have extensive experience working with various insurance payers.