Jesselyn Lanto
Medical Biller
Mabitac, Laguna
Summary
Competent Medical Biller with 3 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
18
18
years of professional experience
4
4
years of post-secondary education
Work History
Medical Biller
Healthcare Coding Integrity (HCI)
01.2021 - 02.2024
- Perform posting charges
- Ensure patient's medical information is accurate and up to date
- Assist in patient's inquiries with benefits, payments, and eligibility
- Perform completion of claims to payer
- Conduct duties in a professional and timely fashion
- Submit billing data to appropriate insurance providers
- Process claims and resolve denials to ensure maximum reimbursement
- Follow up unpaid claims to appropriate parties/payers
- Do medicare and medi-cal reviews
- Review remits and payer correspondence and escalate any identified issues to appropriate areas for review and response to expedite claim resolution
- Insurance verification, authorization and appeals
- Analyze EOBs and remits
Claims Assistant Checker / Supervisor
Claims Pro Phils Inc. (Medicard)
06.2017 - 06.2018
- Checks HBA (Hospital Bills Assessment), MS (Medical Services), OP(Outpatient) and summary of charges processed by Claims Processor
- Formulates entries to be made in the check voucher by Claims and AP clerk
- Make sure that the amount being paid to hospitals and doctors are correct
- Discuss with the processors common errors committed in the processing
- Monitors and evaluates daily production report and weekly status report of Claims Processors.
- Attends to all concerns of the providers (hospital and doctors) regarding unpaid accounts
- Prepare daily output report
- Performs other related tasks that may be assigned from time to time
Claims Processor
Claims Pro Phils. Inc (Medicard)
05.2011 - 06.2017
- Receive bills daily from Medicard Claims Receiving Clerk
- Encodes pertinent information to CPS
- Make sure that all hospital bills must have LOA or approval number
- Submit processed bills to Team Leader/Assistant Supervisor/Claims Asst. Checker and Medical Admin. for checking and approval
Admitting Clerk
Capitol Medical Center
08.2006 - 05.2011
- Responsible for welcoming and registering patients who have been admitted
- Receive and process patients admissions, provide directions and information to patients and their families, and ensure that all necessary admission forms are filled out and signed
- Answer phone calls regarding availability of rooms
Education
Bachelor of Arts - Mass Communication
Far Eastern University (FEU)
Manila, Metro Manila, Philippines 06.2002 - 05.2006
Skills
Critical Thinking and Coordination
Ability to prioritize and meet deadlines
Excellent customer service and interpersonal skills
Able to multi-task to meet timelines on deliverables
Strong attention to detail
Self-starter and can work well under pressure
Knowledgeable in several different CRMs
CRMs / Systems
Prompt
DrChrono
Office Ally
Timeline
Medical Biller
Healthcare Coding Integrity (HCI)
01.2021 - 02.2024
Claims Assistant Checker / Supervisor
Claims Pro Phils Inc. (Medicard)
06.2017 - 06.2018
Claims Processor
Claims Pro Phils. Inc (Medicard)
05.2011 - 06.2017
Admitting Clerk
Capitol Medical Center
08.2006 - 05.2011
Bachelor of Arts - Mass Communication
Far Eastern University (FEU)
06.2002 - 05.2006
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