Sherry Ann Gaudan
Medical Biller and AR Specialist
Dumaguete City
Summary
Experienced with medical billing and accounts receivable procedures, ensuring accuracy and efficiency in financial operations. Utilizes strong organizational skills to manage patient accounts and resolve discrepancies. Knowledge of industry regulations and billing software, ensuring compliance and streamlined processes.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Biller, Accounts Receivable
HRC
Remote
11.2024 - 02.2026
- Processed and submitted medical claims to ensure timely reimbursement.
- Reviewed and reconciled accounts receivable for accuracy and compliance.
- Coordinated with insurance companies to resolve billing discrepancies efficiently.
- Trained new staff on billing procedures and software usage.
- Implemented process improvements that enhanced claim submission efficiency.
Process Executive
Cognizant/Kaiser Permanente
01.2024 - 07.2024
- Providing Service to customers via email or chat by creating tickets due to account issues.
AR/Collection Specialist
HRC Philippines
Pasig City
11.2021 - 02.2023
- Verifying patients Insurance coverage and eligibility
- Preparing and submitting Medical Claims to Insurance companies
- Investigating and Resolving any denied or billing errors
- Reviewing and appealing denied Claims
Medical Billing Specialist
WRS
10.2021 - 07.2022
- Checking Eligibility and benefits, verification for treatments, hospitalization and procedures, Following up on unpaid claims, calling insurance and payment Posting
CSR II
Teletech
Dumaguete, Dumaguete City, Philippines
11.2015 - 10.2021
- Provider Care Associate / Anthem Blue Cross/Blue Shield of CA
- Checking patients Eligibility and Benefits
- Checking referrals and Pre- authorizations from AIM And UM
- Checking Claim Status
Education
Bachelor of Science - Business Computer
Foundation University
Dumaguete City03.1999
Bachelor of Science - Business Computer
Silliman University
Dumaguete City03.1997
High School - undefined
Negros Oriental High School
Dumaguete City03.1996
Elementary - undefined
Polo Elementary School
Tanjay City03.1992
Skills
- Analytical
- Attention to Detail
- Thrive under pressure
- Problem Solving Skills
- Patient account management
- Insurance verification
- Highly motivated
- Critical t
- Medical terminology
- Critical thinking
- HIPAA compliance
- Claim submission
- Collections experience
- Continuous learning mindset
Certification
- Certificate of Hipaa Compliance
- Certificate of Healthcare Program
- Certificate of Achievement Compliance
- Certificate of Code of Ethics
- Certificate for Cybersafety Compliance
Languages
English
Tagalog
Cebuano
Timeline
Medical Biller, Accounts Receivable
HRC
11.2024 - 02.2026
Process Executive
Cognizant/Kaiser Permanente
01.2024 - 07.2024
AR/Collection Specialist
HRC Philippines
11.2021 - 02.2023
Medical Billing Specialist
WRS
10.2021 - 07.2022
CSR II
Teletech
11.2015 - 10.2021
Bachelor of Science - Business Computer
Silliman University
High School - undefined
Negros Oriental High School
Elementary - undefined
Polo Elementary School
Bachelor of Science - Business Computer
Foundation University