Microsoft Office
Rudilyn Palacat
Medical Biller | AR Specialist | Civil Engineer
Davao City
Summary
I’m a detail-oriented medical biller with 2 years of experience in the healthcare industry, I specialize in delivering quality services with respect for strict deadlines and high expectations. I do end to end billing mostly on claims submission and charge entries, claims rejections and denials, research and follow-ups on unpaid claims, appeals and cash posting, and adhering to HIPAA regulations. I am knowledgeable in different EMR’s / EHR’s such as Dr. Chrono, Office Ally, and Prompt. I strive for perfection personally as well as to enhance the reputation of the company that I am committed to. I am a quick learner and willing to learn new platforms. My desire to succeed in quality assurance, maximizing work productivity, and enhancing company profitability is the experience that I would like to bring as a medical biller.
Overview
6
6
years of professional experience
1
1
Language
Work History
Medical Biller
Healthcare Coding Integrity (HCI)
United States
02.2022 - 04.2024
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility and benefits.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Filed and updated patient information and medical records.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Posted payments and collections on regular basis.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Adhered to established standards to safeguard patients' health information.
- Used data entry skills to accurately document and input statements.
- Responsible for maintaining low A/R and bad debt for assigned payers.
ESL Teacher
Nativecamp
Japan Based Company
11.2020 - 01.2022
- Educated students in basics of English grammar and conversational speaking.
- Created and delivered engaging lesson plans to accommodate different learning styles.
- Developed and taught ESL curriculum to improve students' conversational abilities.
- Enhanced students'' speaking skills through regular practice and focused feedback during conversation sessions.
- Encouraged students to deepen knowledge with additional learning opportunities.
- Assessed work of adult students to evaluate progress and identify areas for improvement.
Civil Engineer
DPWH
Davao City, Philippines
08.2018 - 08.2020
- Estimated quantities and material costs during project planning to support budgeting and costing.
- Supervised construction progress on-site, addressing any discrepancies or issues promptly while maintaining safety protocols.
- Collaborated with multidisciplinary teams to ensure seamless coordination and timely delivery of projects.
- Developed innovative solutions for complex engineering problems, enhancing overall project performance and functionality.
- Conducted detailed site investigations to identify potential issues and develop appropriate remediation strategies.
- Established positive relationships with local authorities and community stakeholders, fostering goodwill and cooperation in project development.
- Optimized construction schedules by utilizing advanced project management tools and techniques, ensuring timely completion.
- Developed and implemented solutions to maintain and improve client infrastructure at existing sites.
- Increased project success rates by developing comprehensive risk management plans and implementing mitigation strategies.
- Displayed strong communication and interpersonal skills while visiting clients, jobsites and consultant offices to support project and business development needs.
Education
Bachelor Of Science - Civil Engineering
Central Mindanao University
Maramag, Bukidnon, Philippines06.2017
Skills
Data analysis
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Dr Chrono
Office Ally
Prompt
Google Suite
CANVA
Quote
Nothing is a waste of time if you use the experience wisely.
Auguste Rodin
Timeline
Medical Biller
Healthcare Coding Integrity (HCI)
02.2022 - 04.2024
ESL Teacher
Nativecamp
11.2020 - 01.2022
Civil Engineer
DPWH
08.2018 - 08.2020
Bachelor Of Science - Civil Engineering
Central Mindanao University
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