Summary
Overview
Work History
Education
Skills
Languages
Certification
Timeline
Generic
Open To Work

Edwin Bornilla

Biller/Collector
Lacey,WA

Summary

Detail-oriented professional with extensive experience in claims processing, insurance verification, and medical billing. Proven ability to manage patient records and ensure compliance, driving timely reimbursements and reducing claim rejections.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Biller/Collector

Evergreen Hospice Care, Inc.
Cerritos, California
01.2013 - Current
  • Prepared detailed claims for submission to insurance companies in accordance with policy guidelines.
  • Submitted claims to insurance companies.
  • Ensured confidentiality of patient records by adhering to privacy protocols.
  • Verified patient insurance eligibility through direct communication with appropriate parties.
  • Verified insurance eligibility for patients by calling appropriate parties.
  • Processed and monitored invoices, payments, and adjustments, ensuring timely payment from insurance companies.
  • Collected, posted, and managed patient account payments.
  • Checked claims coding for accuracy against ICD-10 standards, maintaining compliance and reducing claim rejections.
  • Assisted with the preparation and analysis of month-end closing procedures for accounts receivable.

Biller/Collector

Evergreen Home Health, Inc.
Cerritos
01.2013 - Current
  • Coordinated with insurance providers to verify coverage and secure timely payments.
  • Prepared detailed claims for submission to insurance companies according to policy guidelines.
  • Processed billing statements for home health services and ensured accuracy.
  • Followed up daily on outstanding claims to expedite payment from payers.
  • Utilized billing software to track payments and manage outstanding accounts.
  • Maintained comprehensive records of billing activities, including charges, adjustments, denials, and collections.
  • Communicated with healthcare professionals regarding billing inquiries and disputes.
  • Managed patient records and maintained confidentiality in compliance with regulations.
  • Verified insurance eligibility for patients by calling appropriate parties.
  • Collaborated with other departments such as the clinical staff to obtain necessary documentation for processing claims accurately.

Education

Associate of Science - Marine Engineering

Mariner's Polytechnic Colleges Foundation
Philippines
08-1989

Skills

  • Medical billing
  • Claims processing
  • Insurance verification
  • Billing software
  • Account reconciliation
  • Regulatory compliance

Languages

English
Professional
Tagalog
Professional

Certification

  • Producer Agent-Life

Timeline

Biller/Collector

Evergreen Hospice Care, Inc.
01.2013 - Current

Biller/Collector

Evergreen Home Health, Inc.
01.2013 - Current

Associate of Science - Marine Engineering

Mariner's Polytechnic Colleges Foundation
Edwin BornillaBiller/Collector