Summary
Overview
Work History
Education
Skills
Accomplishments
Work Availability
Interests
Software
Timeline
Hi, I’m

Ana Carmena Abrio

Data & Charge Entry/Quality Control Specialist
Cagayan De Oro City
Ana Carmena Abrio

Summary

As a secondary educator with a major in physical science, have almost 5 years of experience in medical billing as a results-driven data entry and charge entry specialist. Spent 2 years in quality control and recently earned a promotion to Assistant Team Lead. Expertise lies in insurance verification, ensuring accurate billing to the correct payer, managing the charge entry process, and posting charges of patients. Familiar with medical billing software and skilled in using Microsoft Office Suite. Additionally, have experience completing 250+ batches in patients' demographics with a keen attention to detail. Consistently meet targets, handling up to 300+ charges and 200 quality control checks. As someone who is versatile and adaptable, committed to self-directed learning and quick to adapt to new processes and procedures in both education and the medical field.

Overview

6
years of professional experience
5
years of post-secondary education
2
Languages

Work History

TOP Inc.
Cagayan De Oro City

Assistant Team Lead
12.2022 - Current

Job overview

  • Provided support to team leader in achieving departmental goals and objectives as assistant team leader.
  • Can manage to do over time of 3-5 hours which includes meeting with other managers and assistant team leads.
  • Coordinated team activities, including scheduling and leading team meetings, assigning tasks, and monitoring progress to ensure timely completion of projects.
  • Provided guidance and support to team members, helping to develop their skills and improve their performance to meet or exceed performance standards.
  • Promoted teamwork, ensured quality work output, and maintained high levels of productivity within department through effective communication and leadership.
  • Managed team workload to reach production targets for specific tasks, ensuring deadlines were met and quality standards were maintained.

TOP Inc.
Cagayan de Oro City

Senior Quality Control Specialist
01.2021 - Current

Job overview

  • Conduct quality control activities, including reviewing batches of new employees' work in demographics and charge entry processes.
  • Managed up to 150-200 batches which can lessen back logs.
  • Post charges to reflect in ledger, ready for payment posting.
  • Develop guidelines for reviewing team members' work, providing feedback and regular updates to ensure adherence to guidelines.
  • Identify and address issues in team members' work to maintain high levels of accuracy.
  • Handle multiple guidelines and ensure implementation for effective quality control processes.

TOP Inc.
Cagayan de Oro City

Charge Entry Specialist
12.2018 - Current

Job overview

  • Responsible for managing charge entry process, including charging patients and paying providers.
  • Performed up to 300+ charges of patients.
  • Ensuring accuracy of billing information by verifying correct facility and billing entity of provider.
  • Reviewing all date of service information to ensure accuracy.
  • Maintaining up-to-date knowledge of billing codes and regulations.
  • Collaborating with team members to identify and resolve billing discrepancies and other issues.
  • Maintaining confidentiality of patient and provider information.
  • Ensuring compliance with all relevant policies, procedures, and regulations.
  • Continuously seeking opportunities for professional development and process improvement.

TOP Inc.
Cagayan De Oro City

Data Entry Specialist
10.2018 - Current

Job overview

  • Accurately inputs patient information into MDSuite system to ensure quality patient care and billing accuracy.
  • Can finish 250+ batches.
  • Bills patients' insurance to correct payer and confirms that it includes appropriate provider, facility, and date of service for accurate reimbursement.
  • Verifies insurance eligibility and updates insurance information in database to ensure accurate and timely claims processing.
  • Ensures compliance with healthcare regulations and standards by adhering to established procedures and guidelines.
  • Maintains accurate and up-to-date records of patient and insurance information to support effective billing and claims management.
  • Continuously seeks opportunities for self-directed learning and professional development to enhance knowledge and skills related to patient care and insurance billing.

Pru Life UK
Cagayan De Oro City

Secretary of Manager
12.2016 - 12.2018

Job overview

  • Customer-focused professional with experience in scheduling appointments and providing administrative support to clients. Skilled in coordinating meeting materials and managing field work related to bills and payments. Detail-oriented and organized, able to balance demands of assisting clients with caring for child, including school pick-up and drop-off. Proactive communicator, adept at assisting clients during meetings with friendly and supportive approach.
  • Can accumulate 1 hour over time.
  • Answered high volume of phone calls and email inquiries.
  • Handled scheduling for executive's calendar and prepared meeting agenda and materials.

Education

Mindanao University of Science And Technology
Cagayan De Oro City

Bachelor of Science from Secondary Education
06.2012 - 04.2017

University Overview

  • Bachelor of Science degree in Secondary Education with a major in Physics, providing expertise in teaching physics to high school students.
  • Comprehensive knowledge of physics concepts, including mechanics, electricity and magnetism, thermodynamics, and modern physics.
  • Proficient in creating effective lesson plans, managing the classroom, and assessing student performance.
  • Skilled in designing curricula that cater to different learning styles and encourage critical thinking and problem-solving skills development.
  • Ready to apply my knowledge and experience in creating an engaging learning environment for students and delivering high-quality physics education.

Skills

Typing Skills

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Accomplishments

  • Maintained an average typing speed of 35+ WPM on all assignments.
  • Verified and entered patient details at rate of 15 entries per hour.
  • Trained not less than 10 new data entry specialists.
  • Achieved 250 by completing data entry with accuracy and efficiency.
  • Achieved 300 by completing charge entry with accuracy and efficiency.
  • Achieved less back log in batches through effectively helping with Quality Control.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Documented and resolved quality control discrepancy which led to accurate billing to the correct provider and facility.
Availability
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Interests

Reading books or writing blogs

Creating art or playing music

Learning new languages or skills

Knowledge of medical terminology and coding systems, such as ICD-10 and CPT

Familiarity with insurance billing and reimbursement processes

Attention to detail and accuracy in data entry

Strong organizational skills to manage large volumes of data

Ability to work independently and as part of a team to meet deadlines

Dedication to maintaining patient confidentiality and privacy

Interest in continuous learning and professional development in the field of medical billing and coding.

Auditing and inspection

Leadership development programs and training

Time management and productivity techniques

Communication skills training and workshops

Collaborative software and tools (e.g., Microsoft Teams, Slack, Trello)

Professional development and continuing education opportunities

Wellness and self-care practices to support work-life balance

Software

Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Access)

Google Suite (Docs, Sheets, Slides, Gmail, Calendar)

MDSuite

Laserfiche

Timeline

Assistant Team Lead

TOP Inc.
12.2022 - Current

Senior Quality Control Specialist

TOP Inc.
01.2021 - Current

Charge Entry Specialist

TOP Inc.
12.2018 - Current

Data Entry Specialist

TOP Inc.
10.2018 - Current

Secretary of Manager

Pru Life UK
12.2016 - 12.2018

Mindanao University of Science And Technology

Bachelor of Science from Secondary Education
06.2012 - 04.2017
Ana Carmena AbrioData & Charge Entry/Quality Control Specialist