Practice Revenue Analyst | EFT/ERA Specialist | Aging Specialist | IVS
Philippines
I am a Medical and Dental Billing Specialist with strong experience in insurance processes, claims management, and revenue cycle support. I have worked as a Practice Revenue Analyst and EFT Insurance Billing Specialist, with Electronic Fund Transfer (EFT) as a core strength, including hands-on experience enrolling providers and claims through insurance portals to ensure timely and accurate reimbursements. Previously, I worked as an Aging Specialist, where I managed claim follow-ups, resolved denials, coordinated with insurance providers, and maintained accurate aging records. I also have experience in insurance verification, including eligibility and benefit reviews through provider portals, insurance breakdowns, and direct insurer communication. I am seeking opportunities in the insurance and healthcare field where I can continue growing and add value to a team.
STRATUS ONE, part_time
Dec 2025 to Jan 2026
Verifying patient insurance plans and coverage through insurance breakdowns, provider portals, fax and direct phone communication with insurance companies. Responsible for obtaining and reviewing full benefit breakdowns, confirming eligibility, deductibles, co-payments, and limitations prior to treatment and claim submission. Consistently double-check procedure codes and patient information to ensure accuracy, reduce claim denials, and support timely and correct billing.
MOD PRACTICE, full_time
Jul 2025 to Dec 2025
Submitting and following up on dental and medical insurance claims, including reviewing paid, unpaid, denied, appealed, submitted, and no-claim-on-file cases. Regularly contact insurance companies to investigate and resolve claim issues, ensuring timely processing and payment. Maintain and update detailed tracking sheets to monitor claim status and performance. Proficient in dental practice management systems including Open Dental, Sensei, and Dentrix.
Zentist, full_time
Jan 2024 to Jul 2025
Conduct day-to-day EFT enrollment in all payers through form and through portals and do bank transfers, enrollments follow up and solve rejections claims. Ex. Delta Dental Payers, Availity, Zelis, Enroll Safehub, Payer Enrollment Services Payers and Epayments payers.
Zentist, full_time
Oct 2023 to Jan 2024
Enroll payers that are part of MERA project in DentalXchange on different locations.