ANNE POSADAS
Pulilan
Summary
Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.
Overview
9
9
years of professional experience
Work History
Medical Biller
MED-METRIX
08.2023 - Current
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
Team Leader
THE RESULTS COMPANY
04.2022 - 08.2023
- Set performance expectations for the team, monitor progress toward goals, and provide constructive feedback as needed
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
Customer Service Representative
THE RESULTS COMPANY
10.2018 - 04.2022
- Receiving inbound calls from Provider regarding claims, eligibility and Benefits, and authorization status
- Promoted to Provider Escalation Team - Handling Complaints and complex claims (Claims Manual Adjusting, Claims processor)
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Customer Service Representative
TELEPERFORMANCE
08.2016 - 06.2018
- Receiving inbound calls from members/patients regarding eligibility and benefits
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Resolved customer complaints with empathy, increasing loyalty and repeat business
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information
Education
HOTEL AND RESTAURANT SERVICES -
Our Lady of Mercy of Pulilan, Inc
Pulilan, Bulacan01.2017
Skills
- MULTITASKING AND ORGANIZATION
- CLAIMS REVIEW
- CUSTOMER SERVICE
- HIPAA COMPLIANCE CERTIFICATION
- PATIENT ACCOUNT ANALYSIS
- Insurance claims
- Patient billing
- Billing and collection procedures
Languages
ENGLISH
Personal Information
Title: MEDICAL CLAIMS ANALYST
Timeline
Medical Biller
MED-METRIX
08.2023 - Current
Team Leader
THE RESULTS COMPANY
04.2022 - 08.2023
Customer Service Representative
THE RESULTS COMPANY
10.2018 - 04.2022
Customer Service Representative
TELEPERFORMANCE
08.2016 - 06.2018
HOTEL AND RESTAURANT SERVICES -
Our Lady of Mercy of Pulilan, Inc
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