Hey I am Pamela

CERTIFIED MEDICAL BILLER/CLAIMS SPECIALIST

I have a versatile personality well grounded with knowledge and
experience handling Claims Submission, Charge/Data Entry and Revenue Cycle Management. I have an excellent communication skills,
strong work ethics and good professional attitude to collaborate
well with others. Armed with passion, dedication and
commitment, I aim only nothing but to provide the best quality
service for excellent business results.

Pamela G. Opiala
Puerto Princesa City, Philippines
pamelaopiala@gmail.com
Freelancer
View Work Hire Me

My Skills and Competencies

Critical Thinking and Coordination
Ability to prioritize and meet deadlines
Excellent customer service and interpersonal skills
Able to multi-task to meet timelines on deliverables
Strong attention to detail
Self-starter and can work well under pressure
Knowledgeable in several different CRMs

Certificates

MEDICAL VA TRAINING
PREMIER MEDICAL BILLING ACADEMY
BOOKKEEPING NCIII

My Experience and Education

  • EXPERIENCE
  • EDUCATION
2024
PREMIER MEDICAL BILLING ACADEMY

FUNDAMENTALS OF MEDICAL BILLING
HIPAA PRIVACY TRAINING

2023
BOOKKEEPING NC IIII

BASIC, COMMON, AND CORE COMPETENCIES OF BOOKKEEPING

2004
BACHELOR OF SCIENCE IN COMPUTER SCIENCE

MARCH 2018 - NOVEMBER 2023
HEALTH CARE CODING INTEGRITY
(MEDICAL BILLER)

* Perform posting charges
* Ensure patient’s medical information is accurate and up-to-date
* Assist in patient’s inquiries with benefits, payments, and eligibility
* Perform completion of claims to payers
* Conduct duties in a professional and timely fashion
* Submit billing data to appropriate insurance providers
* Process claims and resolve denials to ensure maximum
reimbursement
* Follow up unpaid claims to appropriate parties/payers
* Do medicare and medical reviews
* Review remits and payer correspondence and escalate any identified
issues to appropriate areas for review and response to expedite claim
resolution
* Insurance verification, authorization and appeals
Analyze EOB’s and remits

JUNE 2016 - JANUARY 2018
ACE MEDICAL CENTER - PALAWAN
(CLAIMS SPECIALIST)

* Process claims
* Data entry
* Sending claims for insurance payment
* Prepare detailed report of submitted claims

My Services

Account Receivables Management

Follow ups accounts receivables for claims reimbursement

EHR/EMR Integration:

Works with EHR AND EMR to streamline the billing process and ensure accurate documentation of patient.

Charges Entry

Generate and send invoices

Claims Specialist

Process Claims for reimbursement

Data Entry

Entering data information to process the claims


Works

Let's work together !

I am available for freelance projects.
Hire Me

Get In Touch

Address :
Puerto Princesa City,
Philippines
Email :
pamelaopiala@gmail.com


Copyright © Myprofile.ph

Copy Right By Pamela Opiala | ALL RIGHTS RESERVED