Medical Billing | Revenue Cycle Management
Rizal, Antipolo, PH
I have over 10 years of experience in medical billing and revenue cycle management, handling general medical claims across inpatient, outpatient, trauma, ambulatory, and observation settings. My expertise includes CPT and ICD-10 coding verification, claims submission, denial management, payment posting, and prior authorizations. I’ve worked with Medicare, Medicaid, Medicare Advantage, commercial payers, and workers’ compensation, ensuring compliance and accurate reimbursements. What makes me stand out is my strong attention to detail, analytical mindset, and proactive approach to resolving claim issues before they become major denials. I stay organized under pressure, communicate effectively with providers and insurance representatives, and consistently aim to improve workflow efficiency. The value I bring to clients is reduced claim denials, faster reimbursements, improved cash flow, and a reliable partner who treats their revenue cycle as a priority. I focus not just on processing claims, but on optimizing the entire billing process to support the financial health of the practice.
Optum Global Solutions, full_time
Sep 2016 to Aug 2025
> Recognized as a Top-Performing Agent for meeting, and exceeding quality and productivity benchmarks. > Reduced outstanding AR by 20–30%, accelerating cash flow and improving collection turnaround time. > Managed 50-100 insurance claims per day while maintaining 95-98% accuracy. > Successfully recovered payments from 60–120-day aged claims, improving reimbursement cycle efficiency. > Ensured accurate documentation and full HIPAA compliance across all billing processes. > Secured timely prior authorizations to reduce service delays and prevent claim denials.
Dell International Philippines, full_time
Jun 2015 to Sep 2016
> Handled high-volume billing inquiries, invoice corrections, and account reconciliation for US-based customers. > Maintained 95-98% accuracy in billing records, adjustments, and account updates. > Met or exceeded productivity and quality standards while managing multiple accounts daily. > Resolved billing discrepancies efficiently, contributing to improved customer satisfaction.
Property Company of Friends (ProFriends), full_time
Sep 2013 to Jun 2015
> Assisted buyers and clients - with documentation, processing of requests, and coordination. > ·Supported sales and administrative operations, promoted to client facing responsibilities based on performance.