Open To Work
ORLAN TABUADA JR.
SANTO TOMAS
Summary
Versatile professional with extensive expertise in medical billing, educational instruction, and sales strategy development. Skilled in claims processing, compliance with healthcare regulations, and leveraging innovative teaching methods to engage learners. Committed to enhancing operational processes and fostering positive stakeholder relationships.
Overview
14
14
years of professional experience
Work History
Medical Biller
ANX Home Healthcare
Burlingame
07.2025 - Current
- Processed medical claims using electronic billing systems for timely reimbursements.
- Verified patient information and insurance details to ensure accurate billing.
- Resolved billing discrepancies through effective communication with healthcare providers.
- Maintained compliance with healthcare regulations in all billing practices.
- Collaborated with clinical staff to gather necessary documentation for claims processing.
- Managed accounts receivable by tracking unpaid claims and conducting follow-ups to ensure timely resolution.
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Reconciled accounts receivable daily with payment postings to maintain accurate financial records.
- Assisted with collection efforts by contacting patients via phone, mail, or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
- Processed refund requests timely and accurately according to established protocols.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Collaborated with managers to develop strategies for improving revenue cycle processes.
- Collected, posted and managed patient account payments.
- Performed insurance verification, pre-certification and pre-authorization.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Managed all payments processing, invoicing and collections tasks.
- Reconciled codes against services rendered.
- Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
Instructor I
Santo Tomas College of Agriculture Sciences, and Technology
Santo Tomas, Davao Del Norte
08.2021 - 08.2025
- Facilitated interactive workshops for students on sustainable farming practices.
- Mentored students in research projects on agricultural technology, resulting in improved research skills and practical knowledge.
- Conducted seminars on current trends in agricultural sciences and technology, fostering student engagement and awareness of industry advancements.
- Collaborated with faculty to enhance curriculum and teaching methods.
- Collaborated with other instructors on curriculum development projects and interdisciplinary initiatives.
- Designed engaging lesson plans for agriculture science courses.
- Implemented instructional materials and curriculum to meet specific program needs.
- Prepared instruction through lesson plans to address students' assessed needs, goals and objectives.
- Provided individualized instruction to students to improve their academic performance.
- Planned instruction to achieve objectives based upon students' needs and established curriculum.
- Assessed student performance and provided constructive feedback regularly.
- Encouraged students' critical thinking skills by facilitating classroom discussions.
- Adapted teaching methods based on the physical, emotional and intellectual capabilities of students.
- Coordinated with industry professionals to bring guest speakers into classes.
- Developed guides and course materials that reinforced lecture information and enhanced student learning.
- Created a positive learning environment by establishing open communication with students, parents and colleagues.
Sales Manager
AGD3 Corporation
01.2017 - 01.2018
- 4. Identify, attract, and recruit sales agents.
- 2. Formulate, create, and brainstorm fresh new strategies to boost sales.
- 5. Develop and deliver comprehensive training programs on sales techniques, market knowledge, property details, and company policies.
- 1. Work closely with the Marketing Manager.
- 3. Create print ads, social media posts, radio advertisements, and video advertisements.
- (Real Estate Company)
Payroll and Medical Billing
Malaybalay Polymedic General Hospital, Inc.
01.2014 - 01.2017
- 1. Prepare the semi-monthly payroll of nurses, staff, and administrative staff.
- 2. Prepare and calculate deductions and withholding tax for doctors and staff.
- 3. Accurate billing for patients based on their diagnosis.
- 9. Analyzing financial data to identify any discrepancies or areas for improvement in the billing process.
- 7. Ensure that all patient and billing information is accurate, up-to-date, and confidential.
- 8. Answer patient inquiries regarding their bills, explaining insurance coverage, and assisting with setting up payment plans if needed.
- 5. Attend to patients' concerns regarding their billing.
HR Assistant, Head Coordinator, Payroll And Billing Officer
Secured Manpower Services, Inc.
01.2013 - 01.2014
- 1. Manage, interview, and assess applicants' submitted documents.
- 2. Verify applicants' information written on their resume/CV.
- 4. Prepare the salaries of the employees.
- 5. Calculate deductions, withholding tax, and benefits of the employees.
- 6. Prepare the billing and ensure that the clients receive and understand their amount due.
- 7. Check the daily attendance of the employees, including the piece-workers.
- 9. Trace the employees' productivity and output for possible promotion.
- 10. Prepare a monthly, quarterly, and annual report about the company's accomplishments.
- 12. Make sure that all operations and plan align to the company's vision, mission, and goals.
Travel and Tour Coordinator
Wow Camiguin Travel & Tours
01.2012 - 01.2013
- 1. Designing comprehensive travel itineraries that include destinations, accommodations, transportation, activities, and attractions, tailored to client preferences and budget.
- 3. Interacting with clients to understand their travel needs, preferences, and budget. Providing expert advice, answering questions, and offering recommendations.
- 4. Building and maintaining strong relationships with airlines, hotels, tour operators, transportation companies, and other vendors to negotiate favorable rates and ensure quality service.
- 2. Making all necessary bookings and reservations for flights, hotels, cruises, car rentals, tours, and activities.
- 5. Preparing accurate cost estimates, managing budgets, and processing payments for travel arrangements.
- Resolved unforeseen travel issues, including flight delays and lost luggage, for clients.
- 8. Staying updated on new travel trends, destinations, and services to develop new tour packages and enhance existing ones.
- 10. Managing the logistical aspects of tours, including timing, transfers, and group movements, especially for guided tours.
Education
Master of Management - Business Management
Bukidnon State University
Malaybalay City, Bukidnon01-2025
Bachelor of Science - Office Administration
Central Mindanao University
Musua, Maramag Bukidnon03-2011
Skills
- Medical Biller
- Claims processing
- Medical claims submission
- Insurance claims processing
- Billing procedures
- Denial management
- Patient verification
- Insurance approvals
- Billing regulations
- Account follow-up
- Revenue management
- Receivables management
- Account follow-up
- Attention to detail
- Transcription Services
- Healthcare Marketing
- Receivables management
References
- Manilyn de Guzman, Administrative Assistant, 09275548155, Malaybalay City
- Roleth Jean C. Fernandez, Billing Officer, 09754406989, Malaybalay City
Work Preference
Job Search Status
Open to workWork Type
Part TimeContract WorkGig WorkLocation Preference
RemoteSalary Range
₱350/hr - ₱500/hrTimeline
Medical Biller
ANX Home Healthcare
07.2025 - Current
Instructor I
Santo Tomas College of Agriculture Sciences, and Technology
08.2021 - 08.2025
Sales Manager
AGD3 Corporation
01.2017 - 01.2018
Payroll and Medical Billing
Malaybalay Polymedic General Hospital, Inc.
01.2014 - 01.2017
HR Assistant, Head Coordinator, Payroll And Billing Officer
Secured Manpower Services, Inc.
01.2013 - 01.2014
Travel and Tour Coordinator
Wow Camiguin Travel & Tours
01.2012 - 01.2013
Master of Management - Business Management
Bukidnon State University
Bachelor of Science - Office Administration
Central Mindanao University