Leoniza Jabel
Dumanjug
Summary
Driven Medical Biller motivated to perform beyond expectations. Competent Medical Biller with 3 years of experience in handling wide variety of medical billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
10
10
years of professional experience
Work History
Medical Biller
Healthcare Coding Integrity
03.2020 - 10.2023
- 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 payers
- 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 medical 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.
Supervisor, Operations
Teleperformance Philippines Inc.
02.2014 - 09.2018
- Provided leadership and supervision to a team of 15-18 employees, ensuring daily operations ran smoothly and efficiently
- Implemented process improvements resulting in increased productivity and reduced operational errors
- Established and maintained performance metrics, conducting regular evaluations that drove continuous improvement and individual growth
- Collaborated with various departments on cross-functional projects, ensuring successful execution and timely completion
- Excelled in conflict resolution and addressed employee concerns, cultivating a harmonious work environment
- Facilitated training sessions for new team members, equipping them with the necessary skills to excel in their roles
- Acted as a liaison between the team and senior management, effectively communicating team achievements and challenges.
Education
Certificate in Industrial Technology major in Computer Technology -
Cebu Technological University
03.2012
Skills
- Critical Thinking and Coordination
- Ability to prioritize and meet deadlines
- Customer Service and Interpersonal skills
- Able to multi-task to meet timelines on deliverables
- Strong attention to detail
- Self-started and can work well under pressure
- Knowledgeable in several different CRMs such as Dr Chrono, Office Ally and Prompt
- Customer Support - Email Support
- Office and Administration - Personal Assistant, Email Management
- E-Commerce - Inventory Management - Quality Control
- Insurance Denials
- Revenue Cycle Management
- ICD-10
- Attention to Detail
- Medical Billing
- Microsoft Office
- Electronic Medical Record (EMR)
- Data Entry
- Microsoft Excel
- Multitasking and Organization
- Teamwork and Collaboration
- Accounts Receivable
- Data Entry Accuracy
- Claims Processing
- Commercial and Private Insurance
- Records Management
- Claims Review
- Data Analysis
- Insurance Billing
- CMS-1500 Billing Forms
- Insurance Verification
- Insurance Claims
- Collections Management
- Claim Submission
- Medicaid and Medicare Knowledge
- Insurance Claims Processing
- Payment Posting
- Records Maintenance
- HIPAA Compliance
- Electronic Claims
- Customer Service
Personal Information
- Nationality: Filipino
- Marital Status: Married
Training
- FUNDAMENTALS OF MEDICAL BILLING and HIPAA PRIVACY TRAINING, 03/2020
- Teleperformance Operational Processes & Standards New Supervisor's Foundation Training, 03/01/15
- Workforce Reporting Peer Training Program, 03/01/15
- US Retail Company Exclusive Brands Training & Certification
- Home Theater and Appliances Training & Certification
Timeline
Medical Biller
Healthcare Coding Integrity
03.2020 - 10.2023
Supervisor, Operations
Teleperformance Philippines Inc.
02.2014 - 09.2018
Certificate in Industrial Technology major in Computer Technology -
Cebu Technological University
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