Hi! I'm Mary Jean.
I have three years of experience in U.S. healthcare, working on the provider side of Revenue Cycle Management.
Before transitioning into U.S. healthcare, I started my career as a Medical Biller at a local hospital in the Philippines. I worked under the Finance Division, where I prepared and released patients' final statements of account, reviewed medical records for completeness, verified ICD-10 codes, procedure codes, diagnoses, and hospital charges, encoded medications and supplies into the hospital system, and transmitted billing data to the government insurance program. This role gave me a strong foundation in medical documentation, coding accuracy, and billing processes.
I then transitioned into U.S. healthcare as a Medical Biller on the provider side, where I handled charge entry and claims submission. My responsibilities included verifying patient demographics, insurance eligibility, and provider information, reviewing CPT and ICD-10 codes for accuracy, and ensuring all documentation met payer requirements before submitting claims electronically.
After about a year, I moved into a Claims Denial Specialist role, where I focused on managing rejected and denied claims. I reviewed clearinghouse rejections, corrected claim errors, and resubmitted claims for processing. For denied claims, I analyzed Explanation of Benefits (EOBs), investigated the root cause, reviewed patient accounts and supporting documentation, and worked directly with insurance companies to resolve denials, process reconsiderations, and submit appeals when necessary.
This progression in my career has equipped me with a strong understanding of both hospital billing and U.S. medical billing workflows. It has strengthened my attention to detail, analytical thinking, and problem-solving skills while helping providers maximize reimbursement, minimize denials, and maintain an efficient revenue cycle.
Looking forward hearing from you soon!
