Luvibeth C. Hipolito PHRN, OMSB, USRN
Medical Biller Specialist / RCM Specialist /
A/R Specialist
Email: ***********@*****.***
Whatsapp: +968********/ +639********
Facetime: +968********
Work Experience
1. Medical Billing Specialist (June 24, 2022- April 30, 2025))
Perform Posting charges
Ensures that the patient’s medical records are current and accurate
Do charge entry, claim submission, A/R follow up, denial management, etc.
Completion of claims to payers
Perform tasks in a timely and professional manner
Send billing information to the relevant insurance companies
Process claims and resolve denials to ensure maximum reimbursement
Follow up unpaid claims to appropriate parties/payers
Review EOBs and client details to escalate any identified issues to appropriate areas for review and response to expedite denials resolution
Insurance verification authorization and appeals 2. Staff Nurse (Oman February 13, 2014- May 30, 2025)
180+ bed capacity Hospital
Medical wing with 18+ bed capacity
Functional Nursing applied with 1 charge nurse and 2-3 medication nurses in a 3 shifting schedule
Monitoring patient vital signs
Giving patients medications according to 10 rights of Drug Administration
Starting IV line
Administration and monitoring IV fluids
Administration of blood products
Proper documentation
Discharge Care and Health teaching
3. Medical-Surgical Nurse (Philippines June 1, 2009- February 13, 2014)
Monitoring patient vital signs
Giving patients medications according to 10 rights of Drug Administration
Starting IV line
Administration and monitoring IV fluids
Administration of blood products
Giving enteral tube feedings (nasogastric/PEG)
Suctioning (Orally, ET, Tracheostomy)
Administration of pre-op medications
Proper documentation
Charge Nurses
• Serves as the team leader
• Securing consent for surgery
• Coordinating surgery schedule and pre-op medications with the Anesthesiologist
• Coordinating every procedure to corresponding departments
• Referring abnormal/pertinent data to the Doctor
• Checking and carrying out doctor’s orders
• Double checking the patient’s chart to prevent errors 4. Calls Agent Representative (May 01, 2008- June 01, 2009)
Sales representative for ICT Company (Barclays Bank of Delaware)
Inbound calls for credit card applications
Outbound calls for credit transfers and card application
Actively processing credit card protect to prevent identity theft
Assisting transfers of credit to reduce bank interest rates Key Skills
Office Suite Software
Pearson PTE Academic (dec. 12, 2023)
HIPAA trained and certified
Ability to prioritize and meet deadlines
Organizational and time management skills
Keen observer
Good communication skills
Knowledgeable in several CRMs
Customer Service
Multi-tasking to meet goals and deadlines
Familiarity to some of US Commercial and Government Insurances EMRs: Tebra, Simple Practice, DrChrono, Al Shifa