Medical Billing Specialist
Metro Manila
At Interpath Laboratory, Inc, I specialize in medical billing, accounts receivable follow-up, and claims management. My work involves ensuring seamless revenue cycle management by addressing claims creation, payment posting, and denial analysis. With a focus on improving efficiency and accuracy, I aim to support healthcare providers in maintaining clean billing records while enhancing reimbursement processes. My goal is to help organizations optimize billing operations and reduce claim-related challenges.
Outsource Accelerator, full_time
Jan 2024 to Present
Helped raise the claims success rate from 50% to 95% in Q3 by implementing claim review and verification steps and checking patient, coding, and insurance details before submission • Prepared and submitted insurance claims using Google Workspace and data-entry tools, ensuring payer compliance and reducing claim rejections • Reviewed documentation and coding to submit clean claims, reducing denials and improving reimbursement rates • Monitored and reported accounts receivable, tracked outstanding balances, and worked with the Admin Billing Manager to resolve overdue accounts • Managed patient responsibility collections, followed up on unpaid balances, arranged payment plans, and escalated delinquent accounts to protect cash flow • Explained charges and payment options to patients, resolved bil
AFNI Philippines , full_time
Apr 2023 to Sep 2023
Resolved billing, account, and technical inquiries for telecom customers by phone, email, and chat, and documented interactions in the CRM system
Legato Health Technology , full_time
Oct 2021 to Dec 2022
Reviewed and processed medical insurance claims, verifying the accuracy and completeness of documentation while maintaining HIPAA compliance • Answered patient questions on medical bills and insurance coverage, explaining financial responsibilities clearly
Teleperformance Philippines , full_time
Sep 2020 to Feb 2021
Supported the Centene health insurance campaign (Pharmacy Line of Business) by updating records, verifying coverage and benefits, and explaining plan details to members • Completed and submitted prior authorization forms for review, ensuring accurate and timely submission