Office Ally
Marvin Lapuz
Medical Billing Specialist
Cabiao, Nueva Ecija
Summary
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. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
6
6
years of professional experience
4
4
years of post-secondary education
Work History
Claims Specialist
Healthcare Coding Integrity
California
03.2020 - 06.2023
- Worked mostly on claims submission and charge entries
- Claim rejections and denials, research and follow up on unpaid claims and perform posting charges
- Managed at least 30 claims per day.
- Decreased number of pending/denied/unpaid claims by 10%.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Reviewed insurance and claims documents to verify required information and secure any missing data.
- Checked documentation for accuracy and validity on updated systems.
Fire Officer II - Special Disbursing Officer
Bureau Of Fire Protection
Quezon City
07.2017 - 01.2020
- Assessed scenes, coordinated responses and communicated critical details to superiors through two-way radios.
- Inspected apparatus, equipment, grounds, and stations for proper order and condition.
- Inspected buildings to determine fire risk and advise owners on prevention methods.
- Cultivated interpersonal skills by building positive relationships with others.
- Inspected stations, uniforms and vehicles regularly for signs of maintenance needs or general professionalism.
Education
Bachelor of Science - Business Administration, Financial Management
06.2012 - 04.2016
Skills
Insurance ClaimsClaims ResolutionClaim ReviewAnalytical SkillsExcellent Communication SkillsTeamworkOrganizational Skills
Health insurance industry knowledge
Medical terms and procedure knowledge
Data security procedures
Accomplishments
- Documented and resolved unpaid claims which led to less backlogs of unpaid insurance claims.
- Achieved a High Percentage of paid claims by completing the Revenue Cycle Management process with accuracy and efficiency.
- Used Microsoft Excel and Google Sheets to develop Claims tracking spreadsheets.
Software
Dr Chrono
Greenway Intergy
Kareo
Prompt
Google Spreadsheets
Microsoft Teams
Timeline
Claims Specialist - Healthcare Coding Integrity
03.2020 - 06.2023
Fire Officer II - Special Disbursing Officer - Bureau Of Fire Protection
07.2017 - 01.2020
General De Jesus College - Bachelor of Science, Business Administration, Financial Management
06.2012 - 04.2016