Carlo Michael Angelo Barcelona
San Pablo City,Laguna
Summary
Dedicated professional skilled in managing patient interactions and resolving billing inquiries. Facilitates clear communication with insurance companies to verify benefits and streamline claims processing. Focuses on delivering exceptional service to enhance patient experiences in healthcare.
Overview
14
14
years of professional experience
Work History
Billing Specialist
BestMind Behavioral Health
11.2025 - Current
- Facilitated benefit verification and posted payments to ensure precise processing of healthcare claims.
- Processed behavioral health claims by managing submissions, updating statuses, correcting rejections, and reviewing medical documentation for accuracy.
- Resolved patient billing inquiries to provide clarity and ensure timely resolution.
Claims/AR Representative
Ava Billing & Consulting (Medusind)
01.2024 - 10.2025
- Resolved claims denial issues through collaboration with departments on dispute submissions, ensuring accurate and timely claim payments.
Purchase Order Scanner
DME Service Solutions, LLC
Taguig City, Metro Manila
12.2022 - 06.2023
- Processed DME prescriptions and uploaded patients' medical records to their accounts, ensuring accurate documentation requests were made where necessary.
Reimbursement Coordinator/Junior Team Lead
Revenulytics, LLC
Taguig City, Metro Manila
01.2022 - 08.2022
- Collaborated with health insurance companies via phone and online portals to verify patients’ eligibility for COVID-19 testing, ensuring timely access to care. Managed data entry, electronic claims submission, and resolved claim denials to optimise reimbursement processes.
- Promoted to Junior Team Leader within 5 months for demonstrating leadership and efficiency in coordinating reimbursement processes.
Managed Care Services Specialist
Dexcom Philippines, Inc.
Taguig City, Philippines
04.2019 - 01.2022
- Verified patients’ eligibility and benefits for DME supplies by coordinating with health insurance companies through phone and websites, confirming authorization requirements.
- Transferred to Reimbursement Team after 2 years in Benefit Investigation; Manages claim denials and coordinates with health
insurance companies for corrected claims and appeals submission. - Transferred to Accounts Receivable after a year in Reimbursement Team; Responsible for posting checks and managing payments
from both health insurance companies and patients.
Verification of Benefits Specialist
Abbott Philippines (Alere Home Monitoring, Inc.)
Taguig City, Metro Manila
01.2016 - 04.2019
- Coordinated communication with insurance companies via phone and websites to verify patient benefits for DME supplies, submitted authorizations, and tracked their status, ensuring timely access to necessary medical equipment.
Customer Service Specialist (Tier 2)
Conduent Philippines (ACS, A Xerox Company)
Pasay City, Metro Manila
02.2013 - 07.2014
- Worked for health insurance company in Florida. Managed inbound calls from healthcare providers, resolving queries about patients’ insurance benefits, claims and authorisation information while processing corrected claims, reconsiderations, and appeals requests.
Education
Bachelor of Science - Computer Science
Asian Institute of Computer Studies
Manila01-2013
Skills
- Claims processing and benefit verification
- Accounts receivable and medical billing
- E-billing platforms
- Data entry
- Customer relationship management
- Problem solving
Timeline
Billing Specialist
BestMind Behavioral Health
11.2025 - Current
Claims/AR Representative
Ava Billing & Consulting (Medusind)
01.2024 - 10.2025
Purchase Order Scanner
DME Service Solutions, LLC
12.2022 - 06.2023
Reimbursement Coordinator/Junior Team Lead
Revenulytics, LLC
01.2022 - 08.2022
Managed Care Services Specialist
Dexcom Philippines, Inc.
04.2019 - 01.2022
Verification of Benefits Specialist
Abbott Philippines (Alere Home Monitoring, Inc.)
01.2016 - 04.2019
Customer Service Specialist (Tier 2)
Conduent Philippines (ACS, A Xerox Company)
02.2013 - 07.2014
Bachelor of Science - Computer Science
Asian Institute of Computer Studies