Grace Bernal

Experienced Medical Biller and AR Specialist with 8+ years of experience in medical billing, accounts receivable, claims processing, collections, denial management, and healthcare customer service. Skilled in eligibility and benefits verification, prior authorization, claims submission and follow-up, EOB/remittance review, denials, appeals, underpayment research, and payer portal management. Strong problem-solving, communication, and organizational skills with knowledge of HIPAA compliance.

Medical Biller / AR Specialist at ISTA Personnel Solutions (2024-05 – 2026-09)

• Process and follow up on medical claims and outstanding AR.
• Verify eligibility, benefits, and prior authorizations.
• Research denied, rejected, unpaid, and underpaid claims.
• Review EOBs, remittances, and payer correspondence.
• Prepare and follow up on appeals and claim resolutions.
• Coordinate with Medicare, Medicaid, billing, authorization, and cash posting teams.
• Communicate with clients and insurance representatives by phone and email.
• Data Entry & Documentation

Healthcare Customer Service Representative at Concentrix Philippines (2020-01 – 2022-09)

• Provided healthcare customer service and insurance-related support.
• Researched account and billing concerns and documented resolutions.
• Handled customer inquiries while maintaining confidentiality and HIPAA standards.

Medical Billing & Collection Representative / AR Specialist at Optum / UnitedHealth Group Inc. (2017-05 – 2019-10)

• Managed medical billing, AR follow-up, collections, and claim research.
• Contacted insurance companies regarding unpaid and denied claims.
• Reviewed EOBs and payment information to resolve account discrepancies.

Healthcare Customer Service Representative at Teleperformance Philippines (2016-04 – 2017-05)

• Provided healthcare customer service and account support.
• Resolved customer concerns and maintained accurate documentation.

Bachelor of Science in Secondary Education – The National Teachers College (2000)