Rachell Pascua
Seattle
Summary
Skilled in insurance follow-up procedures with hands-on experience managing accounts receivable, processing claims, and resolving discrepancies. Strong understanding of medical billing codes, compliance requirements, and appeal processes. Proven ability to improve payment turnaround time through persistent follow-up actions and effective communication with insurance companies. Committed to maintaining accuracy and timeliness in high-volume environments.
Overview
20
20
years of professional experience
Work History
Insurance Follow-Up Specialist
MultiCare Health
Seattle
06.2020 - Current
- Handled high-volume data entry of demographics, disease etiology and extent and associated procedures or treatments.
- Used correct diagnosis-related groups based on patient encounter details.
- Created new physical and computer-based files.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Assigned work queues in Epic program by leadership to process claim edits for claim process work flow.
King County Data Entry Specialist
Navos
Seattle
11.2019 - 06.2020
- Completed data entry tasks with accuracy and efficiency.
- Compiled data and reviewed information for accuracy prior to input.
Medical Billing Specialist
Sea Mar Community Health Centers
Federal Way
02.2006 - 12.2018
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
Education
Medical Insurance Billing & Coding -
Bryman College
Renton, WAAcademics -
Manaoag National High School
PhilippinesSkills
- Time Management
- Information Confidentiality
- Insurance Claim Requirements
- Verbal and Written Communication
- Client Inquiries
- Critical Thinking
- Medical Billing and Coding
- Customer Contact
- Teamwork and Collaboration
- Adding, Calculating and Billing Machines
- Clerical Support
- Discrepancy Resolution
- Multitasking and Organization
- Medical Terminology
- Speaking Clearly
- Work Prioritization
- Claim Verifications
- 10-Key Data Entry
- Word Processing
- Building Customer Trust and Loyalty
- Courteous with Strong Service Mindset
- Understanding Customer Needs
Skills
- Order and Refund Processing
- Customer Data Confidentiality
- Data Entry and Maintenance
- Calm and Professional Under Pressure
- Inbound and Outbound Calling
- Investigation of Claims
- Prioritizing Calls
- Monetary Transactions
- Billing Adjustments and Refunds
- Merchandise Orders and Exchanges
- Patient and Empathetic
- Excellent Attention to Detail
- End Cap Placement
- Guest Experiences
- Call Transfers
- Administrative and Office Support
Timeline
Insurance Follow-Up Specialist
MultiCare Health
06.2020 - Current
King County Data Entry Specialist
Navos
11.2019 - 06.2020
Medical Billing Specialist
Sea Mar Community Health Centers
02.2006 - 12.2018
Medical Insurance Billing & Coding -
Bryman College
Academics -
Manaoag National High School