Medical Billing Specialist
Resume:
Irene Panican Herrera
Old Anupul,Bamban Tarlac, Philippines
Email: *******.*******@*****.***
Cellphone #: +639**-***-****
OBJECTIVE
To be part of an institution that allows opportunities for learning and boosting skills through competent and enthusiastic application of my profession,that will maximize the development of my capabilities, utilize my education background and expand my knowledge.
WORK EXPERIENCE
Physicians Billing Solutions Inc. (Rufino Pacific Tower, 6784 Ayala Avenue Makati City, Manila)
Position: Medical Billing Staff (April 1, 2014 – Present)
Entering patient demographics in the system
Verifying patient insurance via insurance websites or calling different insurance company
Ensures that all procedure codes, diagnoses codes, charge amounts and units are entered correctly based on all available reference files
Assign a numeric code to define diagnostics, treatments and procedures.
Confirms that all Current Procedural Terminology (CPT) codes are linked to appropriate diagnosis code ICD-9/ICD-10
Understands the use of modifiers.
Identifies, analyzes and understands the reason for claim denials
Coordinates with the other medical billing departments to make sure that each claim is submitted to the correct insurance company to avoid denials
Posts, fixes and resubmits all claim denials encountered in the Explanation of Benefits (EOBs) (ex. checking and verifying patient’s plan if still active or termed through websites or through calling the insurance companies; updating patient’s insurance and identifying correct insurance to pay for the doctor visits or procedures
Posting payments received by different insurances
Posting personal payments of the patient
Trains newly hired employees as needed, as indicated by the Supervisor and Account Manager
Knowledge
Knowledge of clinic policies, ICD-9/ ICD-10 diagnosis codes, CPT codes and Modifiers
Knowledge of medical terminology and different insurance companies and practices
Knowledge of computer programs and applications
Knowledge of grammar, spelling and punctuation to type correspondence
SKILLS:
Skill in gathering, interpreting and reporting insurance information
Skill in trouble-shooting insurance problems and claims
Skill in written and verbal communication
Skill in leadership and management
ABILITIES:
Ability to identify claim problems and recommend solutions
Ability to sort and file insurance forms and associated information
Ability to work with effectively with patients, clients, employees and the public
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Cashier (April 2010 – June 2010)
TRAININGS AND SEMINARS
Information Technology Symposium
UNIVERSITY OF THE PHILIPPINES
DataCommunication and Networking
Network Security
Journey of the Game Developer
Androids
Embeded System
Linux
NCII Passer
Cisco Certified Network Associate
EDUCATIONAL BACKGROUND
TERTIARY : Mabalacat City College (Dolores, Mabalacat, Pampanga)
Bachelor of Science in Information Technology (2009-2013)
: St. Peter College of Technology (Capas, Tarlac)
Computer Science (2008-2009)
SECONDARY: BenignoS. Aquino National High School,
Concepcion, Tarlac (2004-2008)
PRIMARY : Concepcion North Central Elementary School,
Concepcion, Tarlac (1998-2004)
PERSONAL DATA
Age : 27
Date of Birth : April 11, 1992
Place of Birth : Tarlac, Philippines
Religion : Baptist
Civil Status : Single
Height : 5’2”
Weight : 60 Kgs.
Mother’s name : Marylyn P. Herrera
Father’s name : Renato S. Herrera
REFERENCES
Mr. Allen I. Quiambao Randolph Ramos
Teacher Operations Manger
San Roque High School Physicians Billing Solutions,Inc.
Bamban, Tarlac Ayala, Makati
I hereby certify that the above information are true and correct to the best of my knowledge.
Irene P. Herrera
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