Medical Biller/AR Specialist/ Payment Posting
Misamis Oriental
Detail-oriented Medical Billing Specialist with 2+ years of hands-on experience in healthcare revenue cycle management. Proficient in claims processing, insurance verification, denial management, and EHR systems. Demonstrated ability to improve billing accuracy, reduce claim denials, and maintain compliance with HIPAA regulations in fast-paced environments.
Premier Medical Billing, full_time
Jan 2024 to Mar 2026
Processed and submitted insurance claims with high accuracy, reducing claim rejection rates Reviewed and resolved denied or rejected claims to ensure timely reimbursement Maintained accurate patient billing records in EHR systems while ensuring HIPAA compliance Posted payments and reconciled accounts receivable balances Collaborated with healthcare providers and administrative teams to correct billing discrepancies
My Mountain Movers, full_time
May 2022 to Dec 2022
Verified provider credentials including licenses, certifications, and training Conducted background checks and reviewed malpractice or disciplinary records Coordinated with providers and staff to ensure compliance with credentialing requirements
5CA, full_time
Jun 2021 to Mar 2023
Monitored real-time operations including call volumes, queue times, and service levels Analyzed forecasted vs. actual performance data to identify trends and gaps Generated reports to support workforce planning and operational efficiency Tracked KPIs such as handling time, agent availability, and productivity metrics
Credx LLC, full_time
May 2021 to May 2022
Managed end-to-end credentialing process for healthcare providers Conducted primary source verification and background investigations Reviewed and ensured completeness of credentialing applications Prepared and submitted credentialing files to insurance organizations within deadlines