Skills
Medical billing, medical coding, insurance verification, HIPAA Validation
1-2 Years
Experience highlights
Medical Billing Assistant
Ares Medical Billing
·
December/2024
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/
• Processed and submitted insurance claims ensuring accurate coding and compliance with payer guidelines
• Verified patient insurance coverage and benefits, reducing eligibility-related claim rejections
• Collaborated with healthcare providers and insurance companies to resolve billing discrepancies, ensuring timely reimbursements.
• Reviewed and corrected coding errors in submitted claims, ensuring compliance with ICD-10, CPT, and HCPCS coding standards.
• Ensured HIPAA compliance by maintainin
Customer Care Representative
Carelon Global Solutions Phils Inc
·
October/2023
–
Present
Explaining billing statements, charges, and insurance coverage to providers. Assisting providers with claims, verifying coverage, and resolving billing disputes. Acting as a liaison between healthcare providers, and insurance companies. Utilizing healthcare management software (i.e., Pega, GensysCloud, and portals) for patient’s policy records, and billing information. Managing phone systems, chat and email for effective communication.
Supply Chain Supervisor
The Cathay Drug Co., Inc
·
September/2019
–
Present
Overseeing inventory levels and ensuring stock availability to meet operational needs. Monitoring and reconciling stock discrepancies and implementing corrective actions. Managing relationships with suppliers, vendors, and service providers. Processing purchase orders and ensuring timely delivery of goods. Coordinating inbound and outbound shipments to meet delivery schedules. Resolving delivery delays, shipment issues, or damaged goods complaints. Maintaining accurate records of orders, deliver
Supply Chain Analyst
The Cathay Drug Co., Inc
·
September/2017
–
Present
