Justin Jesse Marciano
Marikina City
Summary
Billing operations professional with experience in streamlining billing processes and enhancing operational efficiency. Skilled in managing teams, ensuring accurate invoicing, and implementing effective billing systems. Strong focus on team collaboration, reliable, and adaptable to changing needs. Known for leadership, problem-solving, and attention to detail.
Overview
10
10
years of professional experience
Work History
Billing Operations Manager
Emapta Philippines/MediSavv Inc.
Remote
09.2022 - 03.2026
- The role involves direct engagement with clients to oversee all departmental operations, including payroll management.
- Led cross-functional teams to resolve billing issues, fostering collaboration among departments.
- Developed training programs for staff on billing software and best practices, increasing team competency.
- Enhanced team performance through regular training sessions and performance evaluations, leading to improved efficiency in billing operations.
Medical Billing Specialist
Global Staff Connections
10.2021 - 07.2022
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
Medical Billing AR Specialist (CHRM)
Sourcefit Philippines Inc.
02.2020 - 09.2021
- Reviewing claims using Waystar, Availity, UHC Portal and UMR
- Handled end to end process of Covid-19 Vaccine project such as coding and rejection
- Follow official coding guidelines to review and analyze health records.
- Claim denial review and sending appeals thru mail, fax and portal
Claims Denial Analyst (Forensic)
Armco Healthcare Services Inc.
01.2020 - 12.2020
- Drove revenue growth by identifying underperforming areas and recommending solutions.
- Gathered, organized and input information into digital database.
- Analyzed healthcare data to identify trends and support decision-making processes.
Call Center Representative (Healthcare)
MicroSourcing Philippines Inc.
09.2017 - 12.2018
- Sending prior authorization to the clinics, facility, and doctors.
- Calling and sending emails to follow up the medical records
- Storing data and special authorization through Omnis tool
- Making end of the day report of the order queues and sending it directly to the client and work as a team POC
Customer Service Representative
Alorica Inc.
11.2015 - 06.2017
- Addressed General inquiries
- Handled billing, digital and retention issues
- Sent notifications, promotion and solution regarding with the concern via Kana (Email)
- Maintaining the record of subscriber through the SalesForce
Education
Bachelor of Information Technology
Asian College of Science And Technology
Quezon City, Metro Manila, Philippines03-2015
Skills
- Enabling companies to increase their profit through more efficient revenue cycle management
- Specialize in recovering claims and/or overturning denials
- Excellent communication skills developed through experience in a BPO industry
- Knowledge with HIPAA Compliance
- Claim Denial Review
- Medical Biller / Charge Entry / Demographics
- Setting up claims using billing tools or software
- Training and mentoring
- Project leadership
- Workflow planning
- Operations monitoring
- Payroll liability and deductions
Timeline
Billing Operations Manager
Emapta Philippines/MediSavv Inc.
09.2022 - 03.2026
Medical Billing Specialist
Global Staff Connections
10.2021 - 07.2022
Medical Billing AR Specialist (CHRM)
Sourcefit Philippines Inc.
02.2020 - 09.2021
Claims Denial Analyst (Forensic)
Armco Healthcare Services Inc.
01.2020 - 12.2020
Call Center Representative (Healthcare)
MicroSourcing Philippines Inc.
09.2017 - 12.2018
Customer Service Representative
Alorica Inc.
11.2015 - 06.2017
Bachelor of Information Technology
Asian College of Science And Technology
Add'l Info
Other Requirements to be follow upon request