Senior Medical Billing Specialist - (Payment Posting and Data Entry) - Connext Global Solutions - Nepo Center, 8th Floor Entec 1 Building Don Juan Avenue, corner Teresa Avenue, Angeles City, 2009 Pampanga
(2023-11 - 2025-09)
Payment Posting and Data Entry responsibilities for UVP Dougherty Laser Vision (DLV)/LBMC
- Posted insurance payments from EFTs, checks, and credit cards to patient accounts; reassigned balances to patient responsibility (deductible, co-pay, co-insurance) and applied contractual adjustments.
- Retrieved and uploaded Explanation of Benefits (EOBs) from various insurance portals to ensure accurate posting of insurance payments.
- Monitored daily deposits by generating financial reports, reconciling insurance payment postings, and maintaining organized batch report records to support accurate account tracking.
- Reviewed and analyzed ledger history in patient accounts to identify discrepancies and confirm accurate billing and payment application.
- Applied unapplied payments from surgical procedures and previous balance settlements to patient accounts, ensuring accurate allocation.
- Verified patient insurance eligibility to confirm active coverage and plan type (HMO/PPO) for accurate billing.
- Knowledgeable in calculating patient out-of-pocket (OOP) costs.
- Rebilled denied claims through Compulink to ensure accurate reimbursement.
- Created RCM notes on denied claims for submission to the claims follow-up team.
- Collaborated with various departments through chat and email to investigate and resolve billing issues.
- Handled inbound patient calls regarding billing and account inquiries.
- Proficient in electronic health record management using Nextech EHR system.
- Charge entry and charge posting ready to be billed
- Entered patient's demographic information
- Proficient in electronic health record management using Azaleah EHR system.
- Claims resubmission
- Claims Follow up
Patient Pay Representative – (Billing) - Healthscope Systems Solutions Inc. - 2F Marquee Mall Angeles City Pampanga
(2020-06 - 2023-10)
- Assisted patients with DME billing inquiries through inbound calls, clearly explaining billing procedures and charges.
- Referred accounts to the designated department for rebilling and further claim processing.
- Collected and processed patient payments via check, debit, and credit card.
- Assisted patients with setting up Autopay for billing convenience.
- Updated patient accounts after payment processing and resolved billing inquiries.
- Promoted paperless billing options to patients, highlighting convenience and time savings.
- Contacted patients regarding declined autopay and payment plan transactions.
- Reviewed invoices and Explanation of Benefits (EOBs) during patient calls to provide real-time assistance.
- Resolved patient billing disputes and issues via phone and email communication.
Senior Collection Agent - RMS Collect Phil. Inc. - 2F/3F SM Clark, Angeles City Pampanga
(2016-07 - 2020-06)
Handled patient collections and financial accounts with special process group responsibilities
- Handled inbound and outbound calls related to patient collections and financial accounts.
- Identified and reached out to customers regarding overdue balances, arranging payment collection and account resolution.
- Collected and processed patient payments via check, debit, and credit card.
- Helped customers resolve past-due balances by presenting payment plan options and account solutions.
- Processed late fee waivers for qualified upon request.
- Reviewed call recordings to identify errors or compliance issues in sensitive cases such as deceased accounts, bankruptcy, fraud and disputes.
- Entered account issues into Qorus to ensure calling restrictions were applied within the specified timeframe.
- Created and submitted work cases in FDR to address special situations.
- Handled customer callback requests by contacting accounts as scheduled.
- Assisted customers facing financial difficulties by setting up manageable payment plans.
- Maintained effective verbal communication with customers while accurately documenting account activities in real time.
