Marifel Cortez
Butuan City
Summary
- Accomplished Medical Billing Specialist with a proven track record at Premier Medical Billing, enhancing claim resolution efficiency and fostering positive relations with healthcare providers. Expert in HIPAA compliance and denial management, demonstrating exceptional communication skills and a strong work ethic. Achieved significant improvements in payment posting accuracy and patient account management.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Premier Medical Billing
02.2024 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
Part Time Instructor
Saint Joseph Institute of Technology
01.2023 - Current
- Promoted a positive learning environment by establishing clear expectations and maintaining consistent classroom management techniques.
- Tracked student progress, frequently checking in with struggling students and identifying root causes of problems.
- Boosted student performance by providing individualized support and targeted feedback.
- Initiated new learning methods, eliminating instructional gaps and improving comprehension.
- Tested and evaluated students on materials presented in workshops and classes.
- Applied various teaching aids to minimize learning gaps and instruct and motivate students.
- Participated in professional development opportunities to stay current on educational trends and enhance teaching effectiveness.
- Increased student motivation by developing engaging lesson plans that catered to various learning styles.
- Evaluated student assessments to identify areas of growth and improvement, adjusting instructional strategies accordingly.
- Observed and adopted new techniques from skilled instructors and lecturers.
- Improved student performance by defining clear goals and communicating performance metrics.
- Tested students to assess progress and adapted learning plans in alignment with performance.
- Increased student participation via engaging lectures and assignments.
Chief of Office
PRBU 13, Philippine National Police
09.1998 - 10.2024
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Worked well in a team setting, providing support and guidance.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Developed and maintained courteous and effective working relationships.
- Demonstrated strong organizational and time management skills while managing multiple projects.
Education
Master of Arts - Public Services
Saint Joseph Institute of Technology
Montilla Boulevard, Butuan City04-2020
Bachelor of Science - Mining Engineering
Caraga State University
Ampayon, Butuan City03-2017
Bachelor of Arts - Criminology
Saint Joseph Institute of Technology
Butuan City06-2006
Associate of Applied Science - Chemical Engineering
MSU-Iligan Institute of Technology
06-1998
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- CPT knowledge
- Denial management
- Bill payment
- Tebra software applications proficiency
- DrChrono software applications proficiency
- Medical billing
Affiliations
- Professional Criminologist Association of the Philippines
- Philippine Society of Mining Engineers
Certification
- Medical Billing Specialist Training
Timeline
Medical Billing Specialist
Premier Medical Billing
02.2024 - Current
Part Time Instructor
Saint Joseph Institute of Technology
01.2023 - Current
Chief of Office
PRBU 13, Philippine National Police
09.1998 - 10.2024
Master of Arts - Public Services
Saint Joseph Institute of Technology
Bachelor of Science - Mining Engineering
Caraga State University
Bachelor of Arts - Criminology
Saint Joseph Institute of Technology
Associate of Applied Science - Chemical Engineering
MSU-Iligan Institute of Technology
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