Rosenne Valente

Highly skilled in billing claims, both electronic and paper. Good in collecting payments, addressing claim denials, verifying patient's plan, benefits and authorization. Also, has a goal of providing excellent service to clients.

Driven

Medical and Behavioral Biller motivated to perform beyond expectations.

Behavioral Health Biller - Gentle Heart Recovery

(2025-01 - 2026-01)

• Prepared, reviewed, and submitted accurate insurance claims to ensure timely processing and reimbursement.
• Managed appeals for denied insurance claims, securing successful reimbursements and minimizing revenue loss.
• Resolved billing discrepancies and followed up on outstanding claims to expedite insurance payments.
• Monitored patient account balances and initiated collection efforts to improve account recovery.
• Processed weekly insurance claim submissions, posted payments, and performed bank reconciliations.
• Verified Medicaid eligibility monthly for active patients to maintain accurate billing and uninterrupted coverage.

Revenue Cycle Coordinator - Maximum RHS

(2024-01 - 2025-01)

• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Delivered timely and accurate charge submissions.
• Ensured timely payments from insurance providers through submission of accurate and complete claims.
• Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.

HMO Primary Biller-SNF - Comprehensive A/R Solutions

(2021-01 - 2024-01)

• Making outbound calls for eligibility and authorization verification
• Billing Primary and Secondary claims (HMO, MLTC and VA)
• Addressing claim denials and rejections
• Submitted necessary documents for claim reconsiderations to insurance
• Posting copay/coins and sequestration adjustments

Customer Service Representative - Teleperformance-Healthcare Account

(2019-01 - 2020-01)

• Answering inbound calls for providers and members regarding benefits, eligibility, claims and authorization inquiry

Subject Matter Expert - Teleperformance-Healthcare Account

(2020-01 - 2021-01)

• Providing account expertise
• Assisting agents and attending escalated calls

Bachelor of Science - Accounting Technology - University of Southern Mindanao (2015-01 - 2019-01)