Siegfred Nico

Over 7 years of progressive experience in corporate finance management, healthcare billing, medical coding, and administrative operations. Proven track record in optimizing PhilHealth claims processes, leading teams, and maintaining rigorous compliance standards.

Billing and PhilHealth Supervisor at Prime Hospital and Medical Center – Pasig, Inc. (2026-04 – Present)

• Supervised daily billing and PhilHealth claims department operations for accurate, timely submissions.
• Managed end-to-end PhilHealth processing to minimize RTH and denied claims.
• Audited medical charts, ICD-10-CM codes, and RVS codes to maximize legitimate reimbursement.
• Led and trained a team of billing specialists on updated institutional and PhilHealth workflows.
• Handled communications between hospital administration, medical staff, and PhilHealth representatives.
• Prepared monthly financial summaries and operational reports for executive presentation.

Account Associate – PhilHealth Submission at The Medical City - Ortigas (2021-01 – 2026-03)

• Prepared, reviewed, and electronically submitted high-volume PhilHealth claims.
• Ensured strict compliance with statutory regulations and internal institutional policies.
• Applied ICD-10 diagnostic coding and case rate mapping for accurate institutional reimbursement.

PhilHealth Counter – Account Management at The Medical City - Ortigas (2019-08 – 2020-12)

• Calculated and deducted precise PhilHealth case rates from patient billing transactions.
• Audited critical PhilHealth supporting documents to eliminate billing discrepancies.
• Resolved patient and relative inquiries regarding benefits, coverage, and guidelines.

Customer Service Representative at Sitel Philippines Corporation (2018-11 – 2019-05)

• Educated clients on corporate billing structures and payment processing policies.
• Investigated and resolved intricate customer account inquiries and billing complaints.

Accounting Assistant at Torres-Gacula And Associates (2018-01 – 2018-10)

• Prepared and filed tax returns and official governmental financial reports in strict compliance with state regulatory standards.
• Performed administrative tasks such as recordkeeping, writing correspondence and gathering materials.
• Visited premises of customers to collect payments directly.
• Reviewed collection reports to determine the status of collections and the amounts of outstanding balances.
• Conducted internal audits of accounts receivable and accounts payable ledgers to ensure data integrity.

Customer Service Representative at Convergys Philippines Incorporated (2017-05 – 2017-10)

• Assessed Healthcare Providers regarding customer accounts to determine insurance benefits, identify service needs and resolve issues.
• Educate customers about claims, filing process and procedures.

On-The-Job-Trainee (Commission on Audit Department) at Philippine Overseas Employment Administration

• Handled typing, recordkeeping, check sorting, and document preparation for the audit department.

BSBA in Financial Management – Philippine School of Business Administration – Manila (2017-05)

BS in Electronics and Communication Engineering – Don Honorio Ventura Technological State University