RANITA RANDJA CAMATO SALARDA
HIPAA Certified Healthcare Virtual Assistant
Caloocan City
Summary
Experienced Medical Biller and Collection Specialist with strong knowledge of U.S. healthcare billing, insurance claims, and collections. Skilled in basic medical coding, resolving denials, and ensuring timely reimbursements. Proficient in major billing software and dedicated to accuracy, compliance, and maximizing revenue cycle efficiency.
Overview
10
10
years of professional experience
Work History
Medical Billing and Collections Specialist
Octagos Health Inc
01.2023 - 01.2026
- Ensure accurate and timely submission of claims to Medicare, Medicaid, and private insurance companies using computerized billing systems.
- Process and resolve insurance claim denials.
- Contacted insurance companies to verify claim status and resolve outstanding issues.
- Assist patients with billing, insurance, and payment concerns.
- Analyzed denial trends and collaborated with teams to implement strategies for reducing recurring denials.
- Submit corrected claims, appeals, and required supporting documentation.
- Maintain accurate records and ensure timely follow-up for claim reimbursement.
- Executed various related tasks to support team operations or special projects as assigned.
Medical Billing and Collections Specialist
Phoenix Virtual Solution
01.2022 - 01.2023
- Called insurance companies regarding any discrepancy in payments.
- Researching and appealing denied claims.
- Researched and appealed denied claims to secure rightful reimbursements.
- Billed insurance providers using specific codes
- Confirmed provider credentials with insurance companies and hospitals to ensure compliance.
Collection Representative
Alere Home Monitoring (Abbott Philippines)
01.2018 - 01.2021
- Provide claim analysis support by reviewing, researching and resolving all types of claims denial.
- Identified trends and payer behavior, producing reports to inform strategic decision-making.
- Conducted outbound calls to healthcare insurers to inquire about claims status to healthcare insurance regarding claims status, denials and prior authorization status
- Verified customer eligibility and benefits through payer portals or phone calls and benefits in payer portal or via calling insurance.
Client Partner
Access Healthcare
01.2017 - 01.2018
- Assigned tasks related to accounts receivable, including managing denied claims.
- Analyzed accounts receivable data to identify underpayment reasons, days in A/R, and denial trends before making calls.
- Documented actions and notes from insurance calls to reduce days in A/R.
Healthcare Associate
Omega Healthcare INC.
01.2016 - 01.2017
- Managed inbound customer service support calls, addressing inquiries and concerns to enhance customer satisfaction.
- Conducted outbound follow-up calls regarding outstanding bills, facilitating resolution and improving payment timelines.
- Streamlined patient intake processes to improve efficiency and reduce wait times.
- Implemented electronic health record systems, enhancing data accessibility for healthcare providers.
- Coordinated communication between medical staff and patients, ensuring timely follow-up care.
Education
Bachelor of Science - BIOLOGY
Our Lady of Fatima University
Valenzuela City01-2016
Skills
HIPAA compliance
Insurance Verification
AR Collections
Data Entry
Denials and Appeals
Patient Collection
Front Desk Inbound/Outbound Calls
Medical billing software proficiency
Accounts receivable management
ICD-10
Medical terminology mastery
Medical billing
Customer service
Problem-solving
Teamwork and collaboration
Time management
Multitasking
Claims processing
Medical record review
Patient billing assistance
Administrative support
Billing statement review
Payment collection
Prior authorization
Denial resolution
Conflict resolution
Medical billing
Timeline
Medical Billing and Collections Specialist
Octagos Health Inc
01.2023 - 01.2026
Medical Billing and Collections Specialist
Phoenix Virtual Solution
01.2022 - 01.2023
Collection Representative
Alere Home Monitoring (Abbott Philippines)
01.2018 - 01.2021
Client Partner
Access Healthcare
01.2017 - 01.2018
Healthcare Associate
Omega Healthcare INC.
01.2016 - 01.2017
Bachelor of Science - BIOLOGY
Our Lady of Fatima University
Software / Online Tools and Platforms
- AthenaHealth
- Xifin
- Carevoyant
- Patient Connect
- E-Clinical works
Personal Details
- Age: 31
- Birthdate: July 9, 1995
- Birthplace: Manila
- Blood Type: B
- Religion: Roman Catholic