Krisler Piodos
Valparaiso,USA
Summary
Highly skilled in billing customer service with experience in resolving complex customer inquiries. Strengths include strong communication skills, problem-solving abilities, and familiarity with billing software and database systems. Have made significant impact in previous roles by enhancing customer satisfaction levels and streamlining payment processes.
Overview
9
9
years of professional experience
Work History
Remote Billing Customer Service Representative
Optum
Valparaiso, Indiana
08.2025 - Current
- Managed billing inquiries and resolved customer issues efficiently.
- Processed billing adjustments and maintained accurate customer accounts.
- Educated customers on billing policies and procedures effectively.
- Maintained accurate records of customer interactions and transactions.
- Provided technical support when necessary for customers having difficulty understanding their bills or navigating the online payment portal.
- Responded promptly to all customer requests for assistance with billing matters.
A/R Billing Specialist
Bionic Prosthetics and Orthotics Group
07.2024 - 05.2025
- Submit claims via electronic and paper submission methods.
- Ensures that submitted claims were successfully received by the insurance carrier.
- Conduct payor website and insurance phone call follow ups.
- Submit corrected claims in a timely manner.
- Handles appeal submission if necessary for denied and aged claims.
- Monitor if claims were paid based on the contracted fee schedule.
- Contact patients if necessary regarding outstanding bills.
- Coordinate with the collection debt agency (if documents are needed).
- Coordinate with clinicians (Orthotist and Prosthetist) when medical records are needed.
Provider Service Advocate (Inbound)
Optum
11.2020 - 04.2024
- Assist providers via phone call for eligibility, prior authorization, claims and appeal inquiries.
- Applies one call resolution in every transaction.
- Intern Trainer for for three months.
- Assist supervisor in monitoring all agents adhere to plotted schedule.
Customer Service Representative
Tracfone Telecommunication
06.2017 - 10.2020
- Assist customer with phone activation and technical issues via inbound call.
- Coordinate with other different networks regarding number portability.
- Ensures that all cases are closed and successfully resolved.
Education
Bachelors - Industrial Technology, Food Technology
Bohol State University
PhilippinesSkills
- Proficient with medical terminology (ICD 10 and CPT)
- Medical billing procedures
- Knowledgeable with insurance explanation of benefits
- Strong understanding with insurance portal
- Knowledge with Medicare and Medicaid
- Strong communication skills
- Customer service skills
- Ability to work with minimal supervision
- Critical Thinking
- Claim submission
- Eligibility verification
- Insurance follow-ups
- Problem solving
- Attention to detail
- Time management
References
- Candace Sharpe, Former HR Assistant in Bionic P&O, 317-762-2062
- Lucinda Morris, Billing Specialist in Bionic P&O, 219-508-8826
Timeline
Remote Billing Customer Service Representative
Optum
08.2025 - Current
A/R Billing Specialist
Bionic Prosthetics and Orthotics Group
07.2024 - 05.2025
Provider Service Advocate (Inbound)
Optum
11.2020 - 04.2024
Customer Service Representative
Tracfone Telecommunication
06.2017 - 10.2020
Bachelors - Industrial Technology, Food Technology
Bohol State University