Cristy Protusada

Highly motivated and professional Virtual Assistant with over 12 years of experience providing high quality service in a healthcare field. Proficient in managing tasks. Possess exceptional communication and interpersonal skills with a proven ability to work independently and as part of a team. Worked in both Insurance and Provider side. HIPAA certified. Knowledgeable in many aspects in insurance field.

Virtual Assistance - Medical Billing Specialist - MeadowsHealthcare LLC

(2024-08 - 2026-05)

• Managing Accounts Receivables
• Monitoring and collecting patient balances
• Processing and submitting Medical claims to insurances
• Verifying patient accurate insurance information
• Following up on unpaid claims and resolving billing discrepancies
• Maintaining accurate patient billing records

Senior Medical Billing Specialist - Connext Global Solutions

(2023-11)

• Manage Cash posting for patient and insurance payment in a daily basis
• Cost share verification or identify if cost share has discrepancy
• Requesting 1147 and authorization to resident insurance
• Scrubbing claim for Part B (PT, ST and OT)
• Submitting Medicaid claims for SNF and ICF to resident insurance
• Follow up unpaid claims and filing appeal or dispute depending on claim status , resolving billing discrepancies
• Calling insurance if necessary for authorization/ claims

Documentation Review Specialist - HealthyBos Global

(2021-08 - 2023-10)

Examined documents like Prescription, Chart Note, Sleep Study report and Compliance Record for PAP Therapy

• Cross-trained to multiple campaigns
• Shared Mailbox - this task is sending emails/communication to MD office if additional documents are needed
• Insurance Verification - this task is to verify patient eligibility and benefits using insurance portal like BCBS, Tricare, Medicaid etc...
• Diab Campaign - make sure that all pertinent documents about Diab supply will ship out properly

Coach/ Team Leader/ Claim Specialist - Results CX

(2014-10 - 2021-08)

Handled team for Provider 1.0 line and Escalation team

• Expert in providing Eligibility and Benefits, Authorization, Claims processing both Institutional and Professional, Appeals and Dispute Process , web support inquiries, web chat, Balance Billing
• Send escalation directly to the client for Claims that needs to be fixed
• Handled 8-10 heads both Provider 1.0 and Escalation team

Bachelor of Science - Computer Engineering - Eulogio Amang Rodriguez Institute of Science and Technology (1994 - 1998)

Short Term Course - Architectural Design - MicroCAD Technologies Inc. (2008-04 - 2008-06)