Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Organized Medical Biller skilled at accurately auditing patient charts and billing corresponding parties.
Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.
Competent in healthcare industry with 7 years of experience in handling wide variety of medical assistance and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
9
9
years of professional experience
5
5
years of post-secondary education
Work History
Admin Officer for Healthcare Claims (US)
Conifer Healthcare / Tenet Healthcare
Taguig, Philippines
10.2021 - Current
Preparing billing statements for patients and verified correct diagnostic coding.
Reviewing patient records, identify medical codes and create invoices for billing purposes.
Processing electronic and hard copy claims.
Printing hard copy claims to be sent to Providers.
Gathered information from multiple sources to simplify billing and organize accounts.
Reviewing patient diagnosis codes to verify accuracy and completeness.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Delivered timely and accurate charge submissions.
Adhered to established standards to safeguard patients' health information.
Filed and updated patient information and medical records.
Set up and maintained new electronic billing system.
Admin Officer for Rehabilitation (AU)
ASWhite Philippines - IPAR
Taguig, Philippines
04.2020 - 04.2021
Observed patients awaiting therapy or transportation to note needs and handle situations appropriately.
Prepared patients for treatment by positioning, dressing or removing external supports.
Performed treatment procedures to improve patient's functioning.
Administered structured activities to socialize patients.
Followed all HIPAA rules and regulations regarding patient confidentiality.
Documented each patient case with updates in computer system.
Answered questions from patients via email, phone and in person.
Provided in-home therapeutic treatments to patients after hip replacement surgery.
Communicated with physicians to provide updates on patient care.
Scheduled patient appointments to meet treatment requirements and provide quality care.
Resolved problems, improved operations and provided exceptional service.
Exceeded goals through effective task prioritization and great work ethic.
Delivered services to customer locations within specific timeframes.
Prepared variety of different written communications, reports and documents.
Admin Officer for Medical Equipment (US)
Dexcom
Taguig, Philippines
11.2018 - 03.2020
Processing reports, diagnosed cause of problems, completed repairs and maintained the FDA's standards and procedures.
Soldered loose connections in equipment to reduce safety hazards and improve performance.
Maintained safe work environment and adhered to privacy regulations.
Documented information regarding installations, repairs and inventory checks.
Identified issues, analyzed information and provided solutions to problems.
Improved operations through consistent hard work and dedication.
Admin Officer for Medical Records (US)
Microsourcing - Releasepoint
Quezon City, Philippines
03.2017 - 10.2018
Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
Processed medical records requests from outside providers according to facility, state and federal law.
Reviewed charts and flagged incomplete or inaccurate information.
Uploaded physician progress notes, history and physicals into electronic medical records.
Maintained patient records in compliance with security regulations.
Maintained patient confidence by keeping patient records information confidential.
Delivered charts to assigned areas of hospital by following established routing procedures.
Compiled electronic patient records covering conditions, treatments and diagnoses.
Maintained accuracy, completeness and security for medical records and health information.
Customer Service Representative (US)
Hinduja Global Solutions
Quezon City, Philippines
01.2015 - 01.2017
Educated Providers on eligibility and affordability options by offering insightful information.
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Communicated with people from various cultures and backgrounds on application process.
Assessed information gleaned from interviews, educational and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.
Modified, updated and processed existing policies.
Communicated verification and authorization status updates with claims and authorization department to facilitate decision-making for patient admissions and insurance coverage.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Prepared insurance claim forms or related documents and reviewed for completeness.
Determined appropriateness of payers to protect organization and minimize risk.
Administrative Assistant
Loxon Wandset Inc
Pasig, Metro Manila
01.2014 - 01.2015
Restocked supplies and submitted purchase orders to maintain stock levels.
Executed record filing system to improve document organization and management.
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Providing vehicle and office equipment maintenance.
Scheduled office equipment repair and maintenance to extend equipment lifespan and prevent unplanned downtime.
Monitored office calendars to plan meetings, activities and travel to maximize productivity.
Booked airfare, hotel and ground transportation to coordinate office travel.
Offered technical support and troubleshot issues to enhance office productivity.
Screened visitors and issued badges to maintain safety and security.
Received and sorted incoming mail and packages to record, dispatch or distribute to correct recipient.
Scheduled office meetings and client appointments for staff teams.
Interacted with vendors to purchase and set up equipment and services.
Set up conference rooms, technology and materials to facilitate meetings.
Admin Officer - Order Management
Globe Telecom
Mandaluyong, Metro Manila
01.2013 - 01.2014
Educated customers on promotional options, sales policies and methods for obtaining desired results from company offerings.
Processing customer's phone line inquiries, processing customer orders and providing phone line services to potential customers.
Resolved concerns with products or services to help with order processing.
Assisted customers by walking through online ordering processes.
Monitored orders and delivered status updates to customers regarding arrivals.
Maintained and managed customer files, personal details and databases.
Liaised with component vendors to properly operate and maintain telecommunications equipment.
Prepared purchase requisitions to obtain networking and telecommunications equipment, computer hardware and software and test equipment.
Education
Bachelor of Science - Nursing
Pamantasan Ng Lungsod Ng Pasig
Pasig, Philippines
06.2006 - 03.2008
Bachelor of Science - Industrial Engineering
Rizal Technological University
Mandaluyong, Philippines
06.2008 - 10.2011
Skills
Medical record security
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Timeline
Admin Officer for Healthcare Claims (US)
Conifer Healthcare / Tenet Healthcare
10.2021 - Current
Admin Officer for Rehabilitation (AU)
ASWhite Philippines - IPAR
04.2020 - 04.2021
Admin Officer for Medical Equipment (US)
Dexcom
11.2018 - 03.2020
Admin Officer for Medical Records (US)
Microsourcing - Releasepoint
03.2017 - 10.2018
Customer Service Representative (US)
Hinduja Global Solutions
01.2015 - 01.2017
Administrative Assistant
Loxon Wandset Inc
01.2014 - 01.2015
Admin Officer - Order Management
Globe Telecom
01.2013 - 01.2014
Bachelor of Science - Industrial Engineering
Rizal Technological University
06.2008 - 10.2011
Bachelor of Science - Nursing
Pamantasan Ng Lungsod Ng Pasig
06.2006 - 03.2008
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