Experience

Phoenix Virtual Solutions

• United States
• Outsourcing/Offshoring
• 1 - 100 Employee

• Medical Billing and Collection Specialist

  • Sep 2020 - Present

  - Medical Billing & Collection Specialist - Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. - Confirm patient demographic, insurance and referring physician information is accurately entered into system. - Checking eligibility and benefits verification for treatments, hospitalizations, and procedures. - Reviewing patient bills for accuracy and completeness and obtaining any missing information. - Following up on unpaid claims within standard billing cycle timeframe. - Checking each insurance payment for accuracy and compliance with contract discount. - Calling insurance companies regarding any discrepancy in payments if necessary. Claim Follow up, Denial appeal and etc. - Identifying and billing secondary or tertiary insurances. - Researching and appealing denied claims. - Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPPA). - Performing other related duties or special projects as assigned Show less



Access Healthcare Services

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Accounts Receivable Billing and Collections

  • Feb 2018 - Feb 2020

  - Conduct outbound calls from insurance, law firms, and facilities in regard with the claim. - Identify the claim status from end to end basis (from claim if was already received, claim status, identify the denial reason, reconsideration and appeal) - Review and identify the eob, cob and other documentation. - Identify request and submission documents for completion of claim processing. - Update insurance information of the patient for claim processing. - Doing outbound calls for multiple payments and posting payment. Show less



Global Innov8ion

• Philippines
• Outsourcing/Offshoring
• 1 - 100 Employee

• Durable Medical Equipment and Pharmacy account

  • Dec 2015 - Feb 2018

  - Received calls from the providers, facilities and patients. - Conduct Outbound calls from provider facility and Patient for future follow ups Educate patients on the denial based on the eob and provide appropriate solutions to customer concern. - Doing a 3 way call between provider and patient in regards with the patient request, especially denial in eob, for schedule of office visit and other patient concerns. - Post payment per eob and from the patient online payments. - Received calls from the providers, facilities and patients. - Conduct Outbound calls from provider facility and Patient for future follow ups Educate patients on the denial based on the eob and provide appropriate solutions to customer concern. - Doing a 3 way call between provider and patient in regards with the patient request, especially denial in eob, for schedule of office visit and other patient concerns. - Post payment per eob and from the patient online payments.



Agave Mexican Cantina

• Restaurants
• 1 - 100 Employee

• Food and Beverage Specialist

  • Apr 2014 - Aug 2015

  - Food Server - Cashier - Bartender - Food Server - Cashier - Bartender