Hedden Hiponia
Medical Biller
Pasig
Summary
Competent Medical Biller with 5 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
8
8
years of professional experience
Work History
Sales Assistant
Medical Center Trading Corporation
04.2018 - 02.2019
- Handled customer inquiries, complaints, and returns professionally, ensuring a positive experience for all clients.
- Increased sales by building strong customer relationships and providing excellent service.
- Helped customers locate products and checked store system for merchandise at other sites.
- Assisted customers in making informed decisions by offering detailed product knowledge and comparisons.
Medical Bill Reviewer
Revupoint
02.2019 - 11.2020
- Processed HCFA (CMS-1500) and UB-04 claims for inpatient, outpatient, and ambulatory surgical services.
- Reviewed and validated claims for Skilled Nursing, Home Health, and Pharmacy services.
- Ensured accuracy and compliance with payer policies and reimbursement guidelines.
Barista
Kape Saludo
01.2020 - 02.2021
- Listened carefully to customer requests and created personalized, delicious beverages, which improved sales.
- Pleasantly interacted with customers during hectic periods to promote fun, positive environment.
Claim Specialist
Ista Solutions
04.2022 - 02.2023
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
Medical Biller
Link Healthcare
02.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Reviewed patient records and identified medical codes.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Education
Business Management - Tertiary
Shekinah Institute of Management And Technology
04.2001 -
Secondary
Eusebio High School
03-2024
Elementary
Rosario Elementary School
03-2010
Skills
Claims review
Billing and collection procedures
CPT knowledge
Denial management
Claims processing
Claim submission
Accounts receivable
Knowledgeable in PointClickCare
HIPAA compliance
Payment posting
Medical claims submission
Playing instruments
I play guitar, bass, piano, and drums, and occasionally write songs or poetry.
Timeline
Medical Biller
Link Healthcare
02.2023 - Current
Claim Specialist
Ista Solutions
04.2022 - 02.2023
Barista
Kape Saludo
01.2020 - 02.2021
Medical Bill Reviewer
Revupoint
02.2019 - 11.2020
Sales Assistant
Medical Center Trading Corporation
04.2018 - 02.2019
Business Management - Tertiary
Shekinah Institute of Management And Technology
04.2001 -
Secondary
Eusebio High School
Elementary
Rosario Elementary School