ERIEL PAGTAKHAN
Granada Hills,CA
Summary
Dynamic Revenue Cycle Representative with a proven track record at R1 RCM, adept in medical billing and collections, including expertise in ICD-9/10 and patient confidentiality. Excelled in managing over 80 claims daily, demonstrating exceptional multitasking and bilingual communication skills. Achieved top QA scores, underscoring a commitment to quality and efficiency.
Overview
12
12
years of professional experience
Work History
REVENUE CYCLE REPRESENTATIVE
R1 Rcm
09.2020 - Current
- Experienced collections with Primary & Secondary Insurance
- Experience with HMO, PPO, EPO
- Successfully managed claims denial, appeals and claims follow-up
- Experienced and Trained with Epic system
- Able to multi-task
- Maintained the highest levels of accuracy and patient confidentiality
- Highly experienced with medical claims collections
- Assisted with Important Projects
- Collects outstanding payments for healthcare services
- Managed to be above the QA and productivity score to provide the quality of work
- Successfully managed to follow-up on unpaid insurance claims
- Take actions to encourage timely payments
NPMS
01.2020 - 09.2020
- Experienced collections with Primary & Secondary Insurance
- Experienced with HMO, PPO, EPO, Medicare-Medical
- Assisted with Medical Billing
- Successfully collected patient payments
- Highly experienced with customer service
- Maintained the highest levels of accuracy and patient confidentiality
- Quickly modified and identified medical claims billing, claims denial and insurance discrepancies
- Highly experienced with medical claims collections
ADVANCE PAIN MEDICAL GRP
05.2019 - 01.2020
- Experienced collections with Primary & Secondary Insurance
- Experienced with HMO, PPO, EPO, Medicare-Medical
- Assisted with Medical Billing
- Successfully collected patient payments
- Highly experienced with customer service
- Maintained the highest levels of accuracy and patient confidentiality
- Quickly modified and identified medical claims billing, claims denial and insurance discrepancies
- Highly experienced with medical claims collections
MEDTRONIC
07.2017 - 02.2019
- Closed 60-80+ patients calls per day
- Helped patients with billing questions
- Assisting patients processing with payments
- Assisted with patients payments credits
- Successfully collected patients payments
MEDICAL BILLER
ACCESS MEDICAL MANAGEMENT
Burbank, CA
08.2014 - 06.2017
- Closed 80-100+ claims per day
- Supported 6 doctors and Physicians with Billing/Coding & Claims Processing
- Researched and resolved denials and EOB rejections within standard billing cycle timeframe
- Web-portal experience: CIGNA, Regal, Lakeside, United Healthcare etc
- Worked with all Insurances; HMO, PPO, Medi-cal, Medicare etc
- Processed Insurance Verification & Eligibility checks
- Maintained the highest levels of accuracy and patient confidentiality
- Quickly identified and resolved medical billing, coding, and insurance discrepancies
INTERNSHIP
SKILLED NURSING FACILITY
Los Angeles, CA
12.2013 - 03.2014
- Provided nursing assistance to residents in a long-term care facility
- Assisted residents with activities of daily living including helping with meals, transferring using assistive devices, bathing, dressing and grooming
- Complied with HIPAA standards in all patient documentation and interactions
INTERNSHIP
DR. RIYADH MICHAIL'S OFFICE
Los Angeles, CA
05.2013 - 06.2013
- Electronic medical records specialist
- Prepared patients for exams took medical histories and vital signs and assisted during exams for approximately 30+ patients a day
- Collected lab specimens and performed basic tests
- Answered telephones greeted patients and assisted front office staff as needed
- Maintained exam rooms and supplies
Education
Some College (No Degree) - Health Administration
WEST COAST UNIVERSITY
Anaheim, CAMedical billing and Coding, Medical Assisting/Phlebotomy
KAPLAN COLLEGE
Skills
- ICD-9 / 10
- Patient/Insurance Billing and Collections
- Processing /Appealing Denials
- Processing claims with PPO, HMO's and Medicare-Medical insurances
- Medical Terminology
- Verifying Patients eligibility, deductible and claim status
- Experienced with Patient's demographics
- Bilingual: English & Tagalog
Timeline
REVENUE CYCLE REPRESENTATIVE
R1 Rcm
09.2020 - Current
NPMS
01.2020 - 09.2020
ADVANCE PAIN MEDICAL GRP
05.2019 - 01.2020
MEDTRONIC
07.2017 - 02.2019
MEDICAL BILLER
ACCESS MEDICAL MANAGEMENT
08.2014 - 06.2017
INTERNSHIP
SKILLED NURSING FACILITY
12.2013 - 03.2014
INTERNSHIP
DR. RIYADH MICHAIL'S OFFICE
05.2013 - 06.2013
Some College (No Degree) - Health Administration
WEST COAST UNIVERSITY
Medical billing and Coding, Medical Assisting/Phlebotomy
KAPLAN COLLEGE
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