Hello I am Mary

More Info About Me

Hi! My name is Mary, I am a High-performing, HIPAA-certified medical billing specialist, AR specialist, SUD/MH insurance verification specialist, and medical VA with over 6 years of experience in the fields. Delivering thorough and accurate eligibility and benefit information. Examining denials of claims in order to maximize revenue and identify a solution. Being able to easily cooperate with team members in order to generate ideas and provide concepts that will enhance the process' effectiveness and productivity.

Mary Joy Pulgo
Tagum City, Philippines
Freelancer
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My Skills and Competencies

Data Entry
Medical Biller
AR specialist
Mental health VOB
Healthcare VA

Certificates

My Experience and Education

  • EXPERIENCE
  • EDUCATION
2016
Bachelor of Science in Business Administration

Gingoog City Colleges

JULY 2023 - JUNE 2025
HAMILTON BILLING SERVICES
(MEDICAL BILLING SPECIALIST)

o Monitor claim status and handle problems like rejections, denials, or discrepancies.
o Perform posting charges
o Prepare insurance claims and submit them to insurance company
o Posting payment to patient account
o Follow up on unpaid or denied claims to appropriate parties/payers
o Maintain confidentiality and follow HIPAA regulations.
o Patient billing
o Perform task in a timely and professional manner

DECEMBER 2022 - JUNE 2023
ZEALIE LLC
(VERIFICATION SPECIALIST)

o Manage team members and ensure updates are followed
o Adhere HIPAA
o Data entry
o Eligibility and benefits verification either portals or phone calls
o Enter Patients’ demographics
o Conduct VOB audit to ensure VOB submitted were accurate
o Meeting with team members or coaching to ensure that they are up to date of their KPI
o Received email requests from facilities

2022 - 2022
Freelancer
(Online Bookkeeper (Apprentice) (Intuit QuickBooks))

* Maintains records of financial transactions by establishing accounts; posting transactions; ensure legal requirements compliance.
* Balances general ledger by preparing a trial balance; reconciling entries.
* Prepares financial reports by collecting, analyzing, and summarizing account information and trends.

2022 - 2022
Cousehero
(Tutor)

Answer Student’s questions related to Business studies

2018 - 2022
Sutherland Global Service
(Customer Service Representative)

• Healthcare Insurance Benefits and Eligibility Specialist
• Claims examiner
• Authorization and appeal examiner

2017 - 2018
Philippine National Bank
(New account specialist)

• Introduce company products to customers
• Assist Customers to open a new account

My Services

Healthcare VA/Medical Biller

Verify eligibility and benefits Examine Denied Claims Update enrollment discrepancies

Data Entry / Web Researcher

Search the Internet for information on a wide variety of topics.

MENTAL HEALTH VOB

Verify Member benefits via phone calls or portals

Medical billing specialist / AR specialist / RCM specialist

Ensure claims are follow up to maximize revenue


Works

Online bookkeeper

Data entry

Healthcare VA/ Medical bi...

Let's work together !

I am available for freelance projects.
Hire Me

Get In Touch

Address :
Tagum City,
Philippines


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