2016
Bachelor of Science in Business Administration
Gingoog City Colleges
More Info About Me
High-performing, HIPAA-certified medical billing specialist, Substance Abuse/Mental Health insurance verification Team lead, AR follow up and medical VA with over 7 years of experience in the fields. Delivering thorough and accurate eligibility and benefit information. Examining denials of claims in order to maximize revenue and identify a solution. Being able to easily cooperate with team members in order to generate ideas and provide concepts that will enhance the process' effectiveness and productivity. I am proficient with different insurance companies and payer portals such AVAILITY, UHC, Tricare, UHSS, BCSA, AETNA, CIGNA, UMR etc… and have verified all level of care for SA/MH such as Detoxification, RTC (Residential treatment program), PHP (partial hospitalization), IOP (Intensive outpatient program), Individual, group and family therapy, ABA therapy etc…
Insurance Verification, Medical biller, Data entry, Keen on details, Medical Virtual assistant, Team player, Fast learner
Data Entry
Insurance Verification
Medical Biller
AR specialist
Mental health VOB
Healthcare VA
Certificates
My Experience and Education
January 2024
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April 2026
ZEALIE LLC
(INSURANCE VERIFICATION TEAM LEAD)
o Manage team members and ensure updates are followed
o Adhere HIPAA
o Data entry
o Eligibility and benefits verification either portals or phone calls
o Enter Patients’ demographics
o Conduct VOB audit to ensure VOB submitted were accurate
o Meeting with team members or coaching to ensure that they are up to date of their KPI
o Received email requests from facilities
January 2023
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January 2024
HAMILTON BILLING SERVICES
(MEDICAL BILLING SPECIALIST)
o Monitor claim status and handle problems like rejections, denials, or discrepancies.
o Perform posting charges
o Prepare insurance claims and submit them to insurance company
o Posting payment to patient account
o Follow up on unpaid or denied claims to appropriate parties/payers
o Maintain confidentiality and follow HIPAA regulations.
o Patient billing
o Perform task in a timely and professional manner
2022
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2022
Freelancer
(Online Bookkeeper (Apprentice) (Intuit QuickBooks))
* Maintains records of financial transactions by establishing accounts; posting transactions; ensure legal requirements compliance.
* Balances general ledger by preparing a trial balance; reconciling entries.
* Prepares financial reports by collecting, analyzing, and summarizing account information and trends.
2022
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2022
Cousehero
(Tutor)
Answer Student’s questions related to Business studies
2018
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2022
Sutherland Global Service
(Customer Service Representative)
• Healthcare Insurance Benefits and Eligibility Specialist
• Claims examiner
• Authorization and appeal examiner
2017
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2018
Philippine National Bank
(New account specialist)
• Introduce company products to customers
• Assist Customers to open a new account
My Services
Healthcare VA/Medical Biller
Verify eligibility and benefits Examine Denied Claims Update enrollment discrepancies
Data Entry / Web Researcher
Search the Internet for information on a wide variety of topics.
MENTAL HEALTH VOB
Verify Member benefits via phone calls or portals
Medical billing specialist / AR specialist / RCM specialist
Ensure claims are follow up to maximize revenue