Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Achievements & Awards
Generic
Criszel M. Achay-Obido

Criszel M. Achay-Obido

BLK 5 Lot 11, AFP Logcom Village, Brgy. Dela Paz, Antipolo City, Rizal

Summary

Experienced with processing and optimizing workflow efficiency. Utilizes strong organizational skills and attention to detail to maintain compliance and accuracy. Knowledge of data management techniques and quality assurance protocols.

Professional with comprehensive background in processing, prepared to bring high standards to new role. Known for improving operational efficiency and ensuring accuracy in documentation. Team-oriented with strong focus on achieving results and adapting to changing needs. Proficient in data management and regulatory compliance.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Medical Biller - Part Timer

Premier Medical Billing
Remote
09.2025 - 04.2026
  • Facilitated charge Entry, claims Submission, working on rejections and denial followup, payment posting.
  • Managed billing processes, ensuring accuracy and compliance with healthcare regulations.
  • Reviewed and resolved denied claims, implementing corrective actions to reduce future occurrences.
  • Coordinated with healthcare providers to obtain necessary documentation for timely claims processing.
  • Verified insurance of patients to determine eligibility.

PMBA is a multi specialty training company that provides medical billing and sourcing services to individual practitioners in different states from Florida, California, Texas and Missouri under different specialties- Mental and Behavioral Health, ABA Therapy, Physical Therapy, Pain Management, Home Care and dermatology practice.

  • Tools (EMR/EHRs): Simple Practice, Tebra and JANE App

Philhealth Processor

Clinica Antipolo Hospital & Wellness Center, Inc.
Antipolo City, Province Of Rizal, Philippines
05.2023 - 04.2026
  • Managed inquiries regarding case rate coverage to ensure accurate information dissemination.
  • Facilitated the processing of patient claim deductions.
  • Managed patient coverage during discharge to facilitate continuity of care and support recovery.
  • Facilitated accurate entry of patient information and deductions into system provider to enhance data integrity.
  • Facilitated submission of claims to health care providers for timely processing.
  • Managed claims oversight and generated comprehensive monthly reports to ensure accuracy.
  • Executed patient admission and discharge procedures, guaranteeing accurate documentation and strict compliance with established hospital protocols.
  • Streamlined medical record management processes using electronic health record systems to facilitate improved access to patient data.
  • Coordinated efforts among team members to ensure effective task completion and collective achievement.
  • Implemented effective task prioritization and workload management strategies to drive productivity improvements.
  • Managed accurate record-keeping to support efficient operations and timely paperwork completion.
  • Promoted effective teamwork through the dissemination of best practices aimed at enhancing processing efficiency.

Purchasing Officer

ESR Construction and Development Corporation
03.2016 - 09.2021
  • - My responsibilities include evaluating vendors, negotiating contracts and preparing reports on order and cost.
  • - Conducting product research and sourcing new suppliers and vendors. Sourcing materials, goods, products and services.
  • - Request quotes and compare prices to other supplier, estimate and establish cost parameters and budgets for purchases.
  • - Analyzing to make sure how to identify the most profitable offers.
  • - To ensure the quality of the raw materials that a company needs to maintain its operations.
  • - Tracking deliveries and updating order records such as dates, invoices and discounts.
  • - Processing payments of Purchase Order transaction, PPA and arrastre.
  • - Preparing Disbursement Voucher, Allowances and Accounts Payable.
  • - Helping Accounting Works such as preparing, sorting and dispatching salaries.

Credit Staff

Taipan Development Incorporated (Gaisano Capital Group of Companies, Pagadian Branch)
09.2011 - 03.2014
  • - Screening loan request, evaluating clients' financial information and presenting approved or rejected loans to management.
  • - Orient of those who wany to be a P.O. Guarantor
  • - Cashiering / Teller
  • - Preparing purchase order for the clients.
  • - Preparing monthly report for bank cards transactions.
  • - Checking / Reading all swiper machine transaction.
  • - Ensure to receives accurate payment from the clients after cut off .
  • - Work in a wide range of industries and along with collection and Verification. Often perform general office duties such as faxing documents and doing monthly report.

Sales Agent (Promodizer)

Emerald Garment Incorporated (RRJ & Mr. Lee)
01.2010 - 09.2011
  • - To promote and convince the customer to buy your product/item.
  • - Inventory of stocks.

On the Job Training

Land Bank of the Philippines
09.2008 - 01.2009
  • Assist for those who wants to open bank account.

Education

Bachelor of Science - In Commerce Major in Management Accounting

Southern Mindanao Colleges
Pagadian, Province Of Zamboanga Del Sur, Philippines
01-2009

High School Diploma -

Southern Mindanao Colleges (High School Department)
Pagadian Province Of Zamboanga Del Sur, Philippines
01-2006

Elementary Diploma - N/A

Tingabulong Elementary School
Dimataling, Province Of Zamboanga Del Sur
01-2002

Skills

  • Innovative thinking
  • Effective communication
  • Analytical problem solving
  • Effective public speaking
  • Service-oriented communication skills
  • Collaborative teamwork
  • Effective communication
  • Attention to detail
  • Data entry experience
  • Multitasking and organizing
  • Critical thinking
  • Recordkeeping proficiency
  • Document management
  • Microsoft Excel
  • Data entry
  • Deadline driven

Certification

  • Fundamentals of Medical Billing and HIPPA Privacy Training - February 13, 2026
  • Reach Out Forum, Philhealth - December 1, 2023
  • Reach Out Orientation on the Omnibus Guidelines on the Accreditation of Health Facilities to the National Health Insurance Program, Philhealth - September 19, 2023
  • Membership Employee's Forum, Philhealth - August 16, 2023

Languages

Bisaya
Tagalog
English

Timeline

Medical Biller - Part Timer

Premier Medical Billing
09.2025 - 04.2026

Philhealth Processor

Clinica Antipolo Hospital & Wellness Center, Inc.
05.2023 - 04.2026

Purchasing Officer

ESR Construction and Development Corporation
03.2016 - 09.2021

Credit Staff

Taipan Development Incorporated (Gaisano Capital Group of Companies, Pagadian Branch)
09.2011 - 03.2014

Sales Agent (Promodizer)

Emerald Garment Incorporated (RRJ & Mr. Lee)
01.2010 - 09.2011

On the Job Training

Land Bank of the Philippines
09.2008 - 01.2009

Bachelor of Science - In Commerce Major in Management Accounting

Southern Mindanao Colleges

High School Diploma -

Southern Mindanao Colleges (High School Department)

Elementary Diploma - N/A

Tingabulong Elementary School

Achievements & Awards

Issued by: PHILHEALTH REGIONAL OFFICE Certificate of participation for attending the 2nd REACH OUT FORUM FOR CY 2023 on December 1, 2023 @ Philhealth Regional Office -NCR Central Branch

Issued by: PHILHEALTH REGIONAL OFFICE Certificate of participation for attending the REACH OUT ORIENTATION ON THE OMNIBUS GUIDELINES ON THE ACCREDITATION OF HEALTH FACILITIES TO THE NATIONAL HEALTH INSURANCE PROGRAM conducted on September 19, 2023 @ Hive Hotel and Convention Place 68 Sct. Tuason Cor. Sct. Madrinan, Brgy. South Triangle, Quezon City

Issued by: PHILHEALTH REGIONAL OFFICE Certificate of participation for attending the MEMBERSHIP EMPLOYER'S FORUM conducted on August 16, 2023 @ the 10th/F, 145 Corporate Building, 145 Mother Ignacia, South Triangle, Quezon City

Issued by: FCU SOLUTION, INC. Certificate of attendance has attended our ISO 9001:2015 APPRECIATION & RISK MANAGEMENT WORKSHOP Conducted on March 2-3, 2018 @ the Training Room of ESR Building, National Highway, Barangay Tiguma, Pagadian City, Zamboanga del Sur

Criszel M. Achay-Obido