2006
Bachelor of Science in Industrial Engineering
University of San Jose - Recoletos
More Info About Me
N/a
My Skills and Competencies
Social Media Management
Graphic Designer
Data Entry
Content Creator
Certificates
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My Experience and Education
2022
-
2024
Virtual RNS
(Medical Biller and Patient Advocate)
● Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. ● Manage and organize Electronic Medical Records (EMR) ● Confirming provider credentials with insurance companies and hospitals. ● Checking eligibility and benefits verification for treatments, hospitalization, and procedures. ● Reviewing patient bills for accuracy and completeness and obtaining any missing information. ● Following up on unpaid claims within the standard billing cycle timeframe. ● Calling insurance companies regarding any discrepancy in payments if necessary. ● Identifying and billing secondary or tertiary insurances. ● Researching and appealing denied claims. ● Reviewing and fixing denial codes to rebill and/or appeal insurance. ● Patient Advocate - inbound and outbound calls, process payments, assist and set-up payment arrangements, obtaining or correcting patient’s demographics, discuss patient’s account, balance inquiry, payment reminder, and obtain some insurance information. ● Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act (HPAA).
2022
-
2023
Phoenix Virtual Solutions Inc
(Account Receivable Specialist (COVID Testing Lab - Facility))
●Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. ● Confirming provider credentials with insurance companies and hospitals. ● Checking eligibility and benefits verification for treatments, hospitalization, and procedures. ● Reviewing patient bills for accuracy and completeness and obtaining any missing information. ● Following up on unpaid claims within the standard billing cycle timeframe. ● Calling insurance companies regarding any discrepancy in payments if necessary. ● Identifying and billing secondary or tertiary insurances. ● Researching and appealing denied claims. ● Reviewing and fixing denial codes to rebill and/or appeal insurance. ● Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act (HPAA).
2019
-
2022
Optum Global Solution
(Medical Biller (Pharmaceutical-Home Infusion))
● Preparing, reviewing, and transmitting billing data and medical claims to insurance companies using billing software, including electronic processing, fee schedules. ● Ensuring the patient medical information is accurate and up to date. ● Checking eligibility and benefits verification of the insurance. ● Confirming provider credentials with insurance companies. ● Collecting and reviewing referrals and pre-authorizations. ● Manage and organize Electronic Medical Records (EMR) ● Checking each insurance payment for accuracy and compliance with contract discount. ● Making sure the invoice is billed with the covered HCPC codes and appropriate billed and expected amounts. ● Obtaining Patient Service Agreement for ● Fixing rejections for possible cause of denials ● Process rebill and corrected claims ● Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act (HPAA)
My Services
Social Media Management
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Data Entry / Web Researcher
Search the Internet for information on a wide variety of topics.
Content Creator
Promote companies' products and services by developing copy for websites, social media, marketing materials.