Argine Ortez

6 years of experience in Medical Billing and Revenue Cycle Management (RCM). Hands-on experience in end-to-end billing: eligibility, claims, posting, AR follow-up, and denials.

Supported specialties: OBGYN, Internal Medicine, and Mental Health.

Proficient in EHR systems: Centricity, Athenahealth, RXNT, Kipu, and CMD. Strong knowledge of CPT, ICD-10, HCPCS, and payer guidelines. Experienced with commercial, Medicare, Medicaid, and behavioral health insurance plans.

Skilled in denial management, appeals, and accounts receivable aging resolution. Proven ability to improve clean claim rates and reduce denials. Strong attention to detail with focus on accuracy and compliance (HIPAA).

Consistently meets KPI targets for productivity, turnaround time, and collections. Effective in both independent work and team collaboration in fast-paced environments.

Medical Billing Specialist - ADV Global - Main Office (1110 N Loop 336 W #320, Conroe, TX 77301), Cagayan de Oro City, Philippines

(2020-01 - 2026-12)

• Prepared and submitted insurance claims for each patient in accordance with payer guidelines
• Managed accounts receivable (AR) by following up with insurance companies to ensure timely reimbursement
• Posted insurance and patient payments accurately
• Verified patient eligibility and benefits prior to claim submission to reduce denials
• Processed refunds for both patient and insurance overpayments in compliance with billing policies
• Updated and maintained accurate patient demographic and insurance information
• Resolved denied claims by correcting issues related to medical records, ICD-10 coding, and claim routing errors
• Conducted insurance follow-ups via phone to track claim status and expedite payments
• Requested, reviewed, and analyzed EOBs (Explanation of Benefits) for both paid and denied claims

Store manager - 7/11 - Tagoloan Misamis oriental Philippines

(2023-01 - 2023-12)

• Experience in managing daily operations of a convenience store, including cashier supervision and cash handling
• Assisted in inventory control, stock replenishment, and maintaining product availability
• Provided customer service, handled inquiries, and resolved basic customer concerns
• Supported staff coordination and ensured smooth store operations during peak hours
• Maintained cleanliness, organization, and compliance with store policies in a fast-paced environment
• Developed strong communication, multitasking, and time management skills

Bokkeeper - Dad's and Moms Diner - Tagoloan, Misamis Oriental Philippines

(2019-01 - 2020-12)

• Recording sales and purchases per day
• Making financial statement each month
• Calculating tax payment from Gross Sales per quarter

Assistant at Accounting Department - Jetti Corp - Tagoloan, Misamis Oriental Philippines

(2018-01 - 2019-12)

• Reporting Sales for The Month
• Checking Delivery each branch

Bachelor of Science - Management Accountancy - Phinma Cagayan de Oro College (2019-01 - 2023-12)

Senior High School - Accountancy and Business Management - St.Ignatius Technical College (2016-01 - 2018-12)

Bookkeeping NCIII Review - Bookkeeping - St. Ignatius Technical College (2017-01 - 2018-12)