Experiences
Georgia Behavioral Services
Position: Medical Biller
July 2025 - January 2025
• Check Paid & Denied Claims.
• Submit appeals to insurance.
• Ensure patient’s information is accurate and up to date.
• Perform completion of claims to payers.
• Conduct duties in a professional and timely manner.
• Submit billing data to appropriate insurance providers.
• Process claims and resolve denials to ensure maximum reimbursement.
• Identify issues to appropriate areas for review and response to expedite claim resolution. Insurance verification, authorization and appeals.
• Analyze EOB’s and remits.
Stratford Cresson Partner LLC
Position: Medical Biller
January 2025 - April 15, 2025
• Check Paid & Denied Claims.
• Submit appeals to insurance.
• Ensure patient’s information is accurate and up to date.
• Perform completion of claims to payers.
• Conduct duties in a professional and timely manner.
• Submit billing data to appropriate insurance providers.
• Process claims and resolve denials to ensure maximum reimbursement.
• Identify issues to appropriate areas for review and response to expedite claim resolution. Insurance verification, authorization and appeals.
• Analyze EOB’s and remits.
Alaska Billing Services
Position: Medical Biller
February 2021 - December 28,2024
• Perform posting charges.
• Ensure patient’s information is accurate and up to date.
• Perform completion of claims to payers.
• Conduct duties in a professional and timely manner.
• Submit billing data to appropriate insurance providers.
• Process claims and resolve denials to ensure maximum reimbursement.
• Identify issues to appropriate areas for review and response to expedite claim resolution. Insurance verification, authorization and appeals.
• Analyze EOB’s and remits.
Wipro Philippines
March 2019 - January 2021
Position: Customer Service Associate
Account: CIGNA
• Accept incoming calls fro-----------mber/patient.
• Process monthly premium of the member/patient.
• Track member/patient insurance record.
• Manage patient Eligibility.
Position: Case Manager
Account: Change Healthcare
• Managing leads by doing outbound call’s.
• Determine if the lead will qualify to Medicare Advantage Plan.
• Check lead if he/she is under COBRA plan.
• Follow up leads hand & hand.
Concentrix Philippines
January 2017 - February 2019
Position: Customer Service Associate
Account: CIGNA Provider services
• Accept incoming inbound calls from provider.
• Check & process Medical Claim.
• Check & Process Medical Appeals.
• Check member/patient Eligibility & Benefits
Check provider’s participation.
• Provide queries about member/patient insurance.
• Manage OAP & HMO Plans.
Position: Customer Service Associate
Account: CIGNA Member services
• Accept incoming inbound calls fro-----------mber/patient.
• Check & process Medical Claim.
• Check & Process Medical Appeals.
• Check member/patient Eligibility & Benefits
Check provider’s participation.
• Provide queries about member/patient insurance.
• Manage OAP & HMO Plans.
Verified
