Christopher Batistil
Pasig city
Summary
Detail-oriented Insurance Verification & Claims Specialist with 8 years of expertise in dental billing and insurance processes. Specializes in verifying insurance eligibility, submitting claims, analyzing EOBs, and resolving denials. Experienced in CDT, CPT, and ICD-10 coding, pre-authorizations, and revenue cycle management, ensuring timely reimbursements and strict HIPAA compliance.
Overview
10
10
years of professional experience
Work History
Insurance Verification & Claims Specialist
Rotem Dental Care
pasig city
12.2022 - 02.2026
- Lead comprehensive insurance verification by reviewing eligibility, coverage details, deductibles, waiting periods, and annual maximums before patient appointments.
- Prepared and submitted insurance claims with accurate procedure codes and complete clinical documentation to facilitate prompt processing.
- Analyze Explanation of Benefits (EOBs) to confirm correct payments, adjustments, and identify discrepancies.
- Followed up on pending, rejected, or denied claims to secure timely reimbursement and minimize revenue loss.
- Resolve claim denials through thorough review, corrections, and submission of supporting documentation or appeals.
- Maintain precise patient insurance records and keep all information updated in the practice management system.
- Navigate multiple insurance portals to efficiently verify coverage, track claim status, and review payments.
- Collaborated with administrative and clinical teams to maintain accurate billing practices and enhance revenue cycle efficiency.
La Perouse
Medical Biller
pasig city
10.2020 - 12.2022
- Lead comprehensive insurance verification by reviewing eligibility, coverage details, deductibles, waiting periods, and annual maximums before patient appointments.
- Prepared and submitted insurance claims with accurate procedure codes and complete clinical documentation, improving claim approval rates.
- Analyze Explanation of Benefits (EOBs) to confirm correct payments, adjustments, and identify discrepancies.
- Followed up on pending, rejected, or denied claims to secure timely reimbursement, minimizing delays in revenue collection.
- Resolve claim denials through thorough review, corrections, and submission of supporting documentation or appeals.
- Maintain precise patient insurance records and keep all information updated in the practice management system.
- Navigate multiple insurance portals to efficiently verify coverage, track claim status, and review payments.
- Collaborated with administrative and clinical teams to ensure accurate billing, enhancing the efficiency of the revenue cycle.
Insurance Specialist
Metlife Dental
Pasig City
05.2016 - 09.2020
- Highly knowledgeable in navigating multiple dental insurance portals to verify benefits, check claim status, and obtain patient coverage details efficiently.
- Verified patient insurance eligibility, coverage, deductibles, and annual maximums prior to appointments.
- Submitted accurate dental insurance claims using correct CDT codes and required clinical documentation.
- Managed processing of pre-authorizations and pre-determinations for major dental procedures, ensuring compliance and approval.
- Coordinated follow-ups with insurance companies on outstanding claims, facilitating timely reimbursement.
- Resolved claim denials by reviewing Explanation of Benefits (EOBs) and submitting corrected or appealed claims.
- Posted insurance payments, adjustments, and write-offs in the dental practice management system.
- Maintained accurate patient insurance records and updated insurance information in the system.
- Conducted training sessions for new team members on dental billing procedures, insurance verification, and claims processing to enhance team competency.
Education
Bachelor of Arts - Mass Communication
Father Saturnino Urios University
Butuan City06-2012
Skills
- insurance verification
- claims processing
- claim resolution
- EOB analysis
- billing accuracy
- insurance compliance
- attention to detail
Languages
English
Full Professional
Timeline
Insurance Verification & Claims Specialist
Rotem Dental Care
12.2022 - 02.2026
La Perouse
Medical Biller
10.2020 - 12.2022
Insurance Specialist
Metlife Dental
05.2016 - 09.2020
Bachelor of Arts - Mass Communication
Father Saturnino Urios University