2009
BACHELOR OF SCIENCE IN NURSING
OUR LADY OF FATIMA UNIVERSITY
More Info About Me
Dedicated Registered Nurse with a proven ability to learn quickly and adapt to changing healthcare settings. Brings flexibility, persistence, and excellent communication skills to support patients and healthcare teams.
My Skills and Competencies
Social Media Management
Medical Virtual Assistant
Data Entry
Content Creator
Certificates
My Experience and Education
2021
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2023
REDHOUSE MEDICAL BILLING COMPANY
(AR Claim Specialist / Payment Poster)
· Managed collections for assigned accounts, ensuring policy compliance and timely payments.
· Reconciled accounts and resolved delinquent balances, reducing outstanding debt.
· Submitted appeals and claims with supporting documentation to improve approval rates.
· Reviewed patient balances and resolved billing issues, enhancing account accuracy.
· Identified payment discrepancies and obtained missing info from insurers and clients.
· Tracked payments and EOBs via insurance portals to streamline account management.
· Verified daily EFT deposits and scanned checks, ensuring accurate postings.
· Maintained 100% accuracy in all payment activities, safeguarding financial integrity.
2023
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2024
ACAPELLA HEALTHCARE
(AR Claim Specialist / Payment Poster)
· Take ownership of collection efforts for assigned accounts, ensuring compliance with company policies
· Review patient account balances and resolve billing discrepancies efficiently.
· Identify payment inaccuracies and retrieve missing payment information from insurance carriers and billing clients.
· Reconcile accounts and follow up on delinquent balances to secure timely payments or collections.
· Submit appeals or corrected claims as needed and provide medical documentation to support medical necessity.
· Utilize insurance payer portals to track payments and Explanation of Benefits (EOBs).
· Verify daily posting of all EFT deposits and scanned checks.
· Ensure all payment activities are completed accurately, maintaining 100% accuracy.
2019
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2021
OPTUM GLOBAL SOLUTIONS
(Provider Services - Customer Service Representative)
· Respond to incoming calls from healthcare facilities, nurses, physicians, and hospitals
· Provide patients with accurate information regarding insurance benefits and eligibility
· Address inquiries and resolve complaints related to claims and billing concerns
· Process and submit referrals and prior authorizations for diagnostic imaging, therapies, durable medical equipment (DME), and specialty consultations
· Verify insurance coverage and benefits to ensure all authorization requirements are met
· Accurately document and update patient information in the Electronic Medical Records (EMR) system
· Monitor and follow up on pending authorizations to prevent delays in patient care
· Maintain organized records and ensure timely and efficient processing of referral and authorization requests
My Services
Social Media Management
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Data Entry / Web Researcher
Search the Internet for information on a wide variety of topics.
Content Creator
Promote companies' products and services by developing copy for websites, social media, marketing materials.