Jerry Jay Ponce

Medical billing specialist with 6+ years handling U.S. healthcare claims, insurance verification, and patient accounts for remote teams. Comfortable talking directly with patients and payers by phone and email, keeping records accurate and HIPAA-compliant, and staying on top of a busy claims queue without letting things slip.

Medical Billing Admin - My Mountain Mover

(2025-06 - 2026-06)

• Processed 50-60 claims a day through Tebra and TriZetto without letting a backlog build up.
• Called and emailed patients and insurance reps directly to confirm coverage before billing.
• Tracked claim status daily, chased down denials, and posted payments from ERA/EOB statements.
• Kept billing records accurate and handled patient information the way HIPAA requires.
• Worked with payers to speed up reimbursement and keep the AR pile from growing.

Medical Claims Analyst - Med-Metrix

(2024-04 - 2025-05)

• Checked high volumes of claims for errors and missing info before they went out the door.
• Passed 6 corporate quality audits with a 100% QA score.
• Dug into denied and rejected claims, wrote up findings, and helped build the appeals.
• Kept clean records in the EHR/EMR system and hit productivity numbers every month.
• Talked directly with providers and insurance reps to sort out claim questions faster.

Collection Claims Specialist - NTT DATA

(2022-02 - 2024-04)

• Followed up on unpaid medical claims and checked their status directly with payers.
• Ranked among the top 3 agents company-wide for hitting a 100% QA score.
• Worked with patients and payers to fix billing errors and clear up account confusion.
• Helped recover payments on old claims and get stuck accounts moving again.

Computer Science - Colegio De San Lorenzo