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
Proficiency in Dr Chrono, Office Ally and Prompt
Accounts receivable management
Medical Billing knowledge
Medical claims submission
Payment posting
Charge Entry
Billing Process
Insurance
Ability to prioritize and meet deadlines
Strong attention to detail
Self starter and can work well under pressure
Skilled multitasker
EMR
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