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Kenneth Dave Francisco

Kenneth Dave Francisco

Medical Biller and Payment Poster

Talento
San JuanMiembro desde 24 de junio de 2026
Proficient with TebraExperience with eHR SystemMedical Payment Poster and AccountingSAP experiencedFamiliar Microsoft Office toolsComputer LiterateStrong written and verbal communication skillsProactive, initiative, creative and engagedbillerData Entrydata encoder
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Proficient with TebraExperience with eHR SystemMedical Payment Poster and AccountingSAP experiencedFamiliar Microsoft Office tools

Sobre mí

Claim Processing: Converting medical codes into claims and submitting them to insurance companies (payers). Insurance Verification: Confirming patient coverage and getting pre-authorizations. Payment Management: Posting payments from insurers, balancing accounts, and handling patient balances.

Experiencia

Medical AR/Biller at CF Outsourcing (2025-01 – Present)

  • Claim Processing: Converting medical codes into claims and submitting them to insurance companies (payers).
  • Insurance Verification: Confirming patient coverage and getting pre-authorizations.
  • Payment Management: Posting payments from insurers, balancing accounts, and handling patient balances.
  • Denial Management: Investigating and appealing denied claims to get them paid.
  • Patient Communication: Billing patients for remaining balances and answering questions.
  • Data Entry: Maintaining accurate patient and insurance information.

Medical Payment Poster at MicroSourcing (2024-01 – 2025-01)

  • Investigate denied claims and work to resolve the issues.
  • Resubmit corrected claims or appeal denials when necessary.
  • Ensure timely filing of appeals according to payer guidelines.
  • Post Payments accurately to the patient accounts based on remittance advices (EOBs & ERAs)
  • Apply payments for both insurance and patient responsibilities (Co-pays, Deductibles and Coinsurance)
  • Ensure accurate documentation of all payments, adjustments and account activity.
  • Submit appeals to insurance companies when necessary, providing required documentation and supporting Information

Data Encoder at Great Idea Business Solution Corporation (2021-01 – 2023-01)

  • VAT Relief & VAT Sales encoder for preparation of Book of Accounts.
  • Company/Client receipt encoder.
  • Handling other data-related tasks.
  • Maintaining databases and client files.

Inventory Control Analyst at Multi-M Food Corp. (2018-01 – 2020-01)

  • Oversee and track the arrival of containers from different countries.
  • Maintain comprehensive records of product movements.
  • Document Processing thru SAP (Purchase Order and good Receipt) and Excel monitoring.
  • Generate and present monthly inventory and logistics reports to management

Educación

Bachelor of Science in Psychology – ICCT Colleges, Inc. (2014-01 – 2017-01)

Habilidades

Medical Biller and Payment Poster

Valoraciones