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Medical Billing Specialist

Location:
Tarlac City, Tarlac, Philippines
Posted:
February 19, 2020

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Resume:

Irene Panican Herrera

Old Anupul,Bamban Tarlac, Philippines

Email: adbvkk@r.postjobfree.com

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

Mar Employment for Good Services Inc. (Balibago, Angeles City, Pampanga)

Assistant HR (May 2013 – January 2014)

Avid101 Marketing Corp. (Unit 2215 Cityland Herrera Tower Rufino cor. Valero st.Salcedo Village Makati City,)

Sales Representative (October 2011 – August 2012)

Puregold Duty Free (Clark Freeport Zone, Mabalcat, Pampanga)

Cashier(April 2011 – June 2011)

Makro Philippines (Mabalacat, Pampanga)

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

092*-***-**** 099*-***-****

I hereby certify that the above information are true and correct to the best of my knowledge.

Irene P. Herrera



Contact this candidate