Overview
Looking for full-time work (8 hours/day)
at $6.49/hour ($1,248.00/month)
High school diploma
Last Active
June 28th, 2026 (yesterday)
Member Since
December 22nd, 2024
Profile Description
I am a skilled Medical Biller and RCM Specialist with 3 years of proven experience in supporting U.S clinics and healthcare providers. My background with both practices and major payers gives me a complete understanding of the billing cycle. I specialize in Claims and Denial Management, Insurance Verification and Prior Authorization, Payment Posting and Account Reconciliation, Patient and Provider Support and EHR/EMR Systems. I deliver accurate, efficient, and HIPAA-compliant results that help practices improve reimbursements, minimize denials, and maintain smooth revenue flow.
Top Skills
Accounting » Claims Processing
Experience: 1 - 2 years
Submitted CMS-1500 claims to insurance providers, managing denied claims through effective follow-up and appeals, and performing accurate payment posting to ensure proper account reconciliation.
Customer Support » Insurance » Prior Authorization
Experience: 2 - 5 years
Processed and monitored medical prior authorizations through payer portals and fox completing all required clinical documentation
Customer Support » Insurance » Insurance Verification
Experience: 2 - 5 years
Conducted insurance verification and network participation checks prior to appointment and procedured. Strong knowledge of insurance plans such as Medicaid, Medicare, Commercial, and others. Possess a deep understanding of key insurance terms, including copay, coinsurance, deductibles, and out-of-pocket maximums. Skilled in identifying primary and secondary payers to ensure accurate billing and claims processing.
Other Skills
Customer Support » Customer Service
Experience: 5 - 10 years
I have gained excellent customer service skills and communication skills over the past 6 years as a Customer Service Representative.
Office and Administration » Attention to Detail
Experience: 5 - 10 years
Office and Administration » Organization
Experience: 5 - 10 years
Office and Administration » Multitasking
Experience: 5 - 10 years
Office and Administration » Computer Literacy
Experience: 5 - 10 years
Basic Information
- Age
- 26
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- San Jose Del Monte, Bulacan
- Tests Taken
- DISC
- Dominance: 42
- Influence: 26
- Steadiness: 17
- Compliance: 15
- English
- C2(Advanced/Mastery)
- Government ID
- Sign Up with Pro Account to View
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