Epic
Hi, I’m
Dariz Micah Mac Allan
Martinez
Quezon City,NUE
Overview
3
years of professional experience
Work History
Deel Corp
Resident Support Agent (CSR)
01.2024 - 11.2024
Job overview
- Acted as the main liaison between tenants and telecommunications providers, ensuring smooth communication.
- Resolved technical and billing issues promptly, maintaining high tenant satisfaction.
- Assisted with account setup, troubleshooting, and service inquiries to improve overall service efficiency.
NTT Data Services
Medical Biller
10.2021 - 07.2023
Job overview
- Processed and reviewed medical claims with high accuracy, ensuring timely reimbursement.
- Verified patient insurance information and resolved billing discrepancies efficiently.
- Maintained electronic health records (EHR) and generated reports for management review.
- Processed and submitted medical claims using advanced billing software to ensure timely reimbursements.
- Collaborated with healthcare providers to gather necessary documentation, enhancing claim approval rates.
- Reviewed patient accounts for accuracy, identifying discrepancies and resolving issues with payers efficiently.
- Implemented best practices for coding compliance, reducing rejections and increasing revenue cycle efficiency.
- Analyzed billing data to identify trends, contributing to strategic recommendations for process improvements.
- Facilitated communication between departments to streamline workflows and enhance overall operational efficiency.
- Maintained up-to-date knowledge of insurance regulations, ensuring compliance in all billing activities.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
- Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Adhered to established standards to safeguard patients' health information.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Education
SACRED HEART SCHOOL OF CAVITE
Senior High School Graduate
03.2019
University Overview
Skills
- Lead Generation
- Social Media Management
- Inbox Management
- Email Management
- Calendar Management
- Scheduling
- Data Entry
- Appointment Setting
- Customer Service
- Client Support
- Medical Virtual Assistance
- Medical Billing
- Claims Processing
- CRM Management
- Automation
- Research
- Data Collection
- Online Research
- Market Research
- Content Creation
- Basic Graphic Design
- Document Preparation
- Document Management
- File Organization
- Cloud Management
- Reporting
- Analytics
- Travel Planning
- Booking
- Task Management
- Project Management
- Communication
- Correspondence Management
Personal Information
Personal Information
Title: MEDICAL BILLERTimeline
Resident Support Agent (CSR)
Deel Corp
01.2024 - 11.2024
Medical Biller
NTT Data Services
10.2021 - 07.2023
SACRED HEART SCHOOL OF CAVITE
Senior High School Graduate
Summary
Offering positive attitude and genuine interest in helping others, ready to thrive in customer-focused environment. Brings ability to quickly learn company products and services, ensuring accurate and efficient customer support. Ready to use and develop communication and problem-solving skills in Customer Service role.
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
Accomplishments
- Customer Relations - Earned highest marks for customer satisfaction, company-wide.
- Customer Follow-up - Ensured that customers were satisfied with company products and services by doing purchase follow-up calls.
- Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
Work Preference
Work Type
Full TimePart TimeContract WorkLocation Preference
RemoteImportant To Me
Career advancementCompany CultureFlexible work hoursHealthcare benefitsPersonal development programsWork from home optionPaid time offTeam Building / Company RetreatsPaid sick leave4-day work weekStock Options / Equity / Profit SharingQuote
Success is often achieved by those who don’t know that failure is inevitable.
Software
Salesforce
Zendesk
Availity
Hubspot
Mailchimp
Apolloio
Zapier
Languages
English
Bilingual or Proficient (C2)