Genrev Dalago

Detail-oriented Revenue Cycle Management Specialist with 3+ years of experience supporting U.S. and Australian healthcare providers through insurance verification, medical billing, prior authorization, claims management, appeals, accounts receivable follow-up, patient scheduling, and healthcare administration. Experienced reviewing legal invoices for compliance with billing guidelines while ensuring documentation accuracy and audit readiness. Strong background supporting executives, healthcare providers, and legal operations with expertise in HIPAA compliance, revenue optimization, workflow documentation, CRM management, data integrity, and process improvement.

Recognized for improving operational efficiency through structured systems, meticulous documentation, and cross-functional collaboration.

1. Revenue Cycle Management Specialist at Carestier Health (2024-01 – 2026-06)

• Manage end-to-end revenue cycle processes including patient intake, insurance verification, eligibility checks, and appointment scheduling.

• Investigate denied and rejected claims, correct billing discrepancies, prepare appeals, and recover outstanding reimbursements.

• Monitor aging accounts receivable and perform insurance follow-up to maximize collections.

• Coordinate closely with optometrists regarding coding clarification, prior authorizations, and billing documentation.

• Maintain HIPAA-compliant patient records while ensuring accurate demographic updates and documentation.

• Process orders, invoicing, and payment for contact lens, lid wipes, and eye drops, shipping them directly to patient addresses and coordinating with USPS and FedEx to ensure timely delivery.

• Improve provider utilization by optimizing appointment schedules and reducing no-show rates through proactive patient communication.

2. Data Specialist – Legal Bill Reviewer at LegalNet (2026-01 – 2026-04)

• Reviewed legal invoices for compliance with client billing guidelines and law firm billing standards.

• Audited attorney time entries, expenses, billing narratives, and invoice accuracy to identify guideline violations and non-compliant charges.

• Documented billing exceptions and prepared structured compliance reports supporting legal cost control initiatives.

• Validated billing accuracy while collaborating with internal stakeholders to resolve discrepancies and improve invoice quality.

• Assisted compliance review processes that strengthened billing transparency and reduced financial risk.

3. Revenue Cycle Management Specialist at PainMed (2023-09 – 2024-02)

• Submitted electronic prior authorization requests, primarily for Workers' Compensation insurance cases.
• Collaborated with providers to resolve coding issues, incomplete documentation, and authorization delays.
• Managed prior authorization documentation with approximately 99% record accuracy.
• Investigated denied prior authorizations, submitted appeals, and conducted payer follow-up to secure approvals.
• Coordinated patient scheduling and provider calendars through Gentu and Airtable to maximize clinic efficiency.

4. C-Suite Executive Assistant at Millennium Alarm Systems (ADT Authorized Dealer) (2023-03 – 2023-12)

• Drafted employment agreements, NDAs, onboarding documents, and HR policies in collaboration with HR and legal teams.
• Developed standardized onboarding manuals and departmental SOPs that improved operational consistency and reduced onboarding time by 30%.
• Organized company-wide documentation supporting audit readiness and compliance initiatives.
• Verified customer identity documents and property records while maintaining over 95% data accuracy within CRM systems.
• Coordinated executive calendars, meetings, recruitment activities, and project documentation.

Bachelor of Science in Information Technology (Major in Database Systems) (2022)