Gil Tordilla Jr
North Hollywood,CA
Summary
Detail-oriented Revenue Cycle Coordinator and Medical Billing Specialist with over 16 years of comprehensive experience performing various managerial functions and medical billing tasks to achieve optimal results revenue wise, work wise over delegated accounts. Steadfast and unwavering commitment and dedication towards achieving satisfactory results at all times. Highly reliable to always produce the best results over any assigned task.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Revenue Cycle Coordinator
Medical Billing Management Inc.
Los Angeles, CA
10.2008 - Current
- Overseeing multiple physician's professional practices in terms of maximizing monthly revenue.
- Monitoring posted charges submitted on a daily basis to make sure no claims get rejected upon submission.
- Sorting and preparing charge tickets received from clients for fair distribution of work to team members and in charge of checking posted work on a daily basis.
- Communicate and coordinate with Physician's and front office managers and staff for medical records and overall performance of the medical practice.
- Data entry of received payments and analysis of Explanation of benefits from a wide variety of payers.
- Negotiate claims for clients to maximize profitability.
- Develop strategies to increase revenue for existing accounts.
- Preparation of weekly, monthly and annual financial reports and statements for each account.
- Addressing unpaid claims by understanding Explanation of Benefits received from health insurances.
- Generating monthly, quarterly and annual reports for thorough understanding on how to improve revenue stream.
- Attend scheduled meetings with clients for presentation of revenue reports.
Payment Posting Specialist
Codemax Medical Billing
Los Angeles, CA
12.2024 - 12.2025
- Evaluate Explanation of Benefits received from a wide range of health insurances and assess whether a claim has been adjudicated properly and fairly.
- Post payments accurately to billed charges.
- Identify specific pricers for insurances so as to send back low paid claims for negotiation.
- Generate Excel revenue report daily for pattern analysis.
- Daily , weekly and monthly revenue report submission to delegated clients.
- Moving of claims to proper delegated queues of different departments in order to address each and every denied claim.
- Constant communication and coordination with facility owners and managers to facilitate a more effective and efficient handling of operations with emphasis on better revenue stream.
- Attend meetings with department heads for brainstorming and better understanding of a more effective work flow.
Medical Billing Specialist
Prime Healthcare Surgical Center of the Valley
Northridge, CA
07.2022 - 07.2023
- Submission of medical claims to a wide variety of health insurances for reimbursement of the surgery centers medical services.
- Analyzes clearing house errors for transmitted medical claims and fixing them to generate clean and medically accepted claims
- Posting payments and analyzing Explanation of benefits received from health insurances
- Submission of Appeal for denied medical claims
- Check eligibility of patients medical coverage through health insurance portals and provider hotline
- Prepares and submission of prior authorization request to different HMO insurances and coordination of needed medical records from referring physicians necessary for the request
- Follow up calls to health insurances for submitted medical claims
- Creation of health insurance portals to utilize for billing purposes
- Prepares monthly, quarterly reports regarding the surgery centers performance
- Presentation of month end, quarterly reports to corporate
- Attends meeting for brainstorming purposes to establish a more productive way to address the performance of the surgery center
- Perform any other tasks needed to ensure integrity of the practice
Public Relations Officer
Light Rail Transit Authority- Line 2 Depot
Metro Manila , Philippines
01.2003 - 12.2007
- Created and distributed press releases, media kits and other promotional materials to targeted audiences.
- Organized press conferences, interviews and other events for clients.
- Cultivated relationships with journalists and editors in order to secure coverage of riding public's news stories.
- Established and maintained a harmonious relationship with the riding public by addressing daily complaints and suggestions solicited from them.
- Coordinated special events such as trade shows, conventions and store openings.
- Collaborated with graphic designers on promotional materials such as brochures, posters and flyers.
- Assisted in developing key messages that were used in communications materials.
- Prepared monthly reports outlining the success of campaigns against established goals.
Bank Teller
Metropolitan Bank and Trust Company
Metro Manila, Philippines
03.2001 - 12.2002
- Processed customer deposits and withdrawals accurately, balancing cash drawer daily.
- Maintained confidentiality of bank records, transactions and customer information.
- Provided exceptional customer service to customers by answering inquiries, resolving complaints and processing transactions in a timely manner.
- Assisted customers with opening new accounts, ordering checks, and setting up online banking services.
- Verified customer signatures on documents and ensured accuracy of all paperwork before submitting for approval.
- Identified suspicious activity on account holders' accounts and reported any discrepancies to the supervisor immediately.
- Performed cash handling duties including counting currency, coins and checks.
- Balanced teller drawers regularly throughout the day according to established procedures.
Education
Bachelor of Science - Business Administration and Management
University of Santo Tomas
Manila, Philippines05.2000
Skills
- Strong Analytical Skills
- Exceptional Customer Relations
- Account Management
- Team Player
- Bilingual
- Microsoft Office Proficient
- Certified Microsoft Excel User from Beginner, Intermediate and Advanced Uses and Functions
Certification
- Certificate of Completion Courses for Beginner, Intermediate and Advanced Level in Microsoft Excel
Languages
Tagalog
Native/ Bilingual
English
Native/ Bilingual
References
References available upon request.
Timeline
Payment Posting Specialist
Codemax Medical Billing
12.2024 - 12.2025
Medical Billing Specialist
Prime Healthcare Surgical Center of the Valley
07.2022 - 07.2023
Revenue Cycle Coordinator
Medical Billing Management Inc.
10.2008 - Current
Public Relations Officer
Light Rail Transit Authority- Line 2 Depot
01.2003 - 12.2007
Bank Teller
Metropolitan Bank and Trust Company
03.2001 - 12.2002
Bachelor of Science - Business Administration and Management
University of Santo Tomas
- Certificate of Completion Courses for Beginner, Intermediate and Advanced Level in Microsoft Excel
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