Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Timeline
Hi, I’m

CRYSTAL MAY VILLAR

RCM & Medical Billing Specialist | Denials • Appeals • Insurance Verification
Cebu City,CEB
CRYSTAL MAY VILLAR

Summary

I’m a Medical Billing and Denial Management Specialist with hands-on experience supporting U.S. healthcare providers in revenue cycle operations, claims resolution, and AR follow-up.

My experience includes denial management, appeals, insurance verification, EOB/ERA review, claim resubmission, payment posting, and payer communication. I currently support ophthalmology billing workflows and work closely with unpaid and denied claims to help improve reimbursement turnaround times.

Before transitioning into medical billing, I spent several years in customer service, sales, and healthcare insurance support, which strengthened my communication, problem-solving, and patient support skills in fast-paced environments.

I’m highly adaptable, detail-oriented, and comfortable working independently in remote setups while maintaining accuracy, professionalism, and HIPAA compliance.

Overview

12
years of professional experience
3
Certifications

Work History

Rocket Healthcare
Remote

Medical Biller & Denial Management VA
04.2025 - Current

Job overview

Support daily medical billing operations with a focus on denial resolution, appeals, AR follow-up, and claim resubmissions. Analyze EOBs and ERAs to identify denial trends, resolve unpaid claims, and improve reimbursement timelines.

Handle insurance verification, eligibility checks, payment posting, and payer follow-ups while supporting ophthalmology billing workflows. Process approximately 40–60 claims daily while maintaining accuracy and HIPAA compliance.

Optum Global Solutions
Cebu City, Province Of Cebu, Philippines

Medical Insurance Specialist / Healthcare Support Specialist
07.2023 - 02.2026

Job overview

Provided support for U.S. healthcare insurance inquiries involving claims, eligibility, coverage verification, and billing concerns. Assisted members and providers with understanding EOBs, reimbursement processes, and policy guidelines while ensuring accurate documentation and HIPAA compliance.

Worked across multiple systems to investigate claim issues, resolve discrepancies, and improve customer experience through effective communication and problem-solving.

TaskUs

Customer Support Associate
09.2022 - 12.2022

Job overview

  • Assisted clients in resolving account concerns with accuracy and professionalism.

GG Personal Computer

Page Admin & Seller
01.2017 - 01.2022

Job overview

  • Managed online sales of computer parts, handled inquiries, created promotional content, and ran basic Meta Ads campaigns.
  • Gained hands-on experience in digital marketing, customer engagement, and social media selling.

Teletech

Inbound Sales & Support Representative
03.2016 - 12.2016

Job overview

  • Handled sales inquiries, processed orders, and maintained accurate CRM documentation.

Convergys

Customer Service Representative
04.2015 - 02.2016

Job overview

  • Provided billing and account support; strengthened communication and problem-solving skills.

Teleperformance
Cebu City, Province Of Cebu, Philippines

Sales & Reservation Associate
01.2014 - 03.2015

Job overview

  • Managed travel and hotel reservations, ensuring accuracy in booking and customer records.
  • Streamlined reservation processes for improved accuracy and guest experience.

Education

Western Mindanao State University
Baliwasan Zamboanga City

Bachelor of Science from Food Technology

Skills

Medical Billing

Denial Management

Accounts Receivable (AR)

Insurance Verification

Eligibility Checks

Appeals & Claim Resolution

EOB/ERA Analysis

Payment Posting

Claim Resubmission

Revenue Cycle Management

HIPAA Compliance

Payer Communication

Customer Support

Certification

English Language Proficiency December 2009
Availability
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Timeline

Medical Biller & Denial Management VA

Rocket Healthcare
04.2025 - Current

Medical Insurance Specialist / Healthcare Support Specialist

Optum Global Solutions
07.2023 - 02.2026

Customer Support Associate

TaskUs
09.2022 - 12.2022

Page Admin & Seller

GG Personal Computer
01.2017 - 01.2022

Inbound Sales & Support Representative

Teletech
03.2016 - 12.2016

Customer Service Representative

Convergys
04.2015 - 02.2016

Sales & Reservation Associate

Teleperformance
01.2014 - 03.2015

Western Mindanao State University

Bachelor of Science from Food Technology
CRYSTAL MAY VILLARRCM & Medical Billing Specialist | Denials • Appeals • Insurance Verification