Ronnel

Medical Biller/ Medical Virtual Assistant

Verified

mark as hired

Overview

Looking for full-time work (8 hours/day)

at $4.20/hour ($800.00/month)

College Level

Last Active

March 3rd, 2025 (425 days ago)

Member Since

September 9th, 2022

Profile Description

Greetings!
My name is ---------- ---------- , passionate and dedicated professional specializing in medical billing. Over the course of my more than 7 years in the BPO industry, I have developed various skills such as customer service, account receivables, payment posting, and medical billing. I also have extensive knowledge in ICD-10 coding, CPT codes, modifiers, medical terminologies, insurance billing processes, guidelines, clearinghouse rejections, credentialing, prior authorization, insurance verification.
I have worked on all functions of medical billing and also did quality checks for the same. I have great experience working on the below-mentioned functions of medical billing.
• Patient Registration
• Insurance Verification
• Pre-Authorization Request and verification
• Charge Posting / Superbill review.
• Evaluation of valid HCPCS codes, ICD 9-10 and Modifier
• Fixing Rejected Electronic claims.
• Provider PIN calling (for verifying provider TAX id, NPI, and billing address)
• EOB and check search via websites and batches
• Payment Posting of Insurance and Patient
• AR Follow up on denied claims via call or websites.
• Claims Appeals
• Collection / Refund / Over-Payment
• Scheduling new patients
Project Specialization:
• Daily Audit of sample size.
• Publishing weekly/monthly dashboard, production, and accuracy report to clients.
• Working on new ideas to improve process accuracy and productivity.
• Doing calibration with QCA, Team, and Client to reduce process variances.
• Tracking or identifying root causes of insurance denials and low revenue.
• Conducting PKT (Process knowledge test) to bridge the knowledge gap.
• Suggesting corrective actions, implementing solutions, and reviewing implementation
• Providing feedback and refresher training to individuals and teams.
• Doing remotely and side by side audits of associates
• Analyzing trends in quality check and fixing the bulk issue right away.
I have worked for the below-mentioned specialties of the provider’s claim specialties:
• Physical Medicine and Rehabilitation
• Family Medicine / Doctor's clinic
• Behavioral Care Solution/Mental Health
• Weight loss
• Dental
• Genetic Testing Laboratory
• Internal Medicine
• DME
• Physical Therapy
• Skill Nursing Facility
I am well-versed in utilizing a comprehensive range of billing software, including:
• Athena One
• Office Ally
• Dr. Chrono
Major follows up Insurance:
• Medicare
• Medicaid
• BCBS
• Aetna
• UHC
• Cigna
• Tricare
• Humana
My commitment to excellence is evident in the suite of services I offer:
• Patient Demographic and Charge Entry
• Claims Submission and Fixing Rejections
• AR and Insurance Follow-up
• Denials Management
• Appeals Filing (if required)
• Payment Posting
• Revenue Analysis and Reporting
I take pride in delivering comprehensive Revenue Cycle Management (RCM) services ensuring a seamless and efficient workflow for your medical billing needs. Thank you for considering my expertise. I am willing to be trained and open to learning new things. I am a quick learner and self-motivated. Looking forward to working with you.

For more details and if you are interested to my service, you can send an email at ---------- or call me ---------- or Skype: ---------- ----------

You can check my resume on this link as reference: ----------

Top Skills

Professional Services » Management Services » Call Center Operations Management

Experience: 5 - 10 years

Customer Support » Chat Support

Experience: Less than 6 months

Customer Support » Insurance » Medical Insurance

Experience: 5 - 10 years

Customer Support » Phone Support » English Speaking

Experience: Less than 6 months

Professional Services » Management Services » Bpo Operations Management

Experience: 2 - 5 years

Customer Support » IT

Experience: Less than 6 months

Office and Administration » Transcription

Cloud Services » AWS » Analytics - Amazon Athena

Experience: Less than 6 months

Basic Information

Age: 38

Gender: Male

Website: Sign Up with Pro Account to View

Address: Caloocan City, Metro Manila

Tests Taken: IQ
Score: 121: DISC
Dominance: 30%
Influence: 10%
Steadiness: 26%
Compliance: 33%: English
C1(Advanced)

Government ID: Sign Up with Pro Account to View

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BENCHMARKS

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Ronnel

Medical Biller/ Medical Virtual Assistant

Overview

Profile Description

Top Skills

Professional Services » Management Services » Call Center Operations Management

Customer Support » Chat Support

Customer Support » Insurance » Medical Insurance

Other Skills

Customer Support » Technical Support

Customer Support » Healthcare

Office and Administration » Microsoft Excel

Customer Support » Phone Support » English Speaking

Professional Services » Management Services » Bpo Operations Management

Customer Support » IT

Office and Administration » Transcription

Cloud Services » AWS » Analytics - Amazon Athena

Customer Support » Customer Service » Payment Processing

Professional Services » Medical Services » Medical Billing

Professional Services » Medical Services » Revenue Cycle Management

Professional Services » Medical Services » Medical Knowledge

Basic Information