Summary
Overview
Work History
Education
Skills
Timeline
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Vilmar Agustin

Makati City, Metro Manila,00

Summary

Developed skills in billing, coding, and claim processing within healthcare environment. Seeking to transition into new field, leveraging expertise in managing complex tasks and ensuring accuracy in financial records. Excited to bring strong foundation in administrative and analytical functions to new industry.

Overview

3
3
years of professional experience

Work History

Medical Biller

Virtual Assistance Online
10.2024 - 05.2025
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Filed and updated patient information and medical records.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Posted payments and collections on regular basis.
  • Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
  • Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.

Payment Application Associate

CF Staffing
01.2022 - 10.2024
  • Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
  • Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Amplified revenue recovery efforts by developing targeted approach for handling aged receivables.
  • Conducted detailed analyses of billing cycles to identify patterns and implement strategies for reducing delays in payments.
  • Enhanced accuracy of insurance claims with meticulous verification and updating of patient records.

Account Receiables

Hinduja Global Solutions
11.2021 - 12.2022
  • Verified insurance of patients to determine eligibility.
  • Posted payments and collections on regular basis.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.

Education

Bachelor of Science - Information And Communication Technology

University of Makati
Makati City
03-2016

Skills

  • Insurance claims
  • Medical billing
  • Insurance billing
  • Electronic claims
  • HIPAA compliance
  • Insurance verification
  • Billing and collection procedures
  • Patient billing
  • Accounts receivable
  • Insurance claims processing
  • Claim submission
  • Medicare and medicaid process
  • Claims processing
  • Payment posting
  • ICD-10
  • Electronic health record software
  • Patient account analysis
  • Medical claims submission
  • Medical terminology expert
  • Knowledgeable in Tebra/Kareo, CollaborateMD, CalOptima, Practice fusion, Verity, ModMed, Office Ally, EPIC, Trizetto, and EHRyourway
  • Account follow-up
  • Payment processing

Timeline

Medical Biller

Virtual Assistance Online
10.2024 - 05.2025

Payment Application Associate

CF Staffing
01.2022 - 10.2024

Account Receiables

Hinduja Global Solutions
11.2021 - 12.2022

Bachelor of Science - Information And Communication Technology

University of Makati

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Vilmar Agustin