William Billy Joe Dela Peña
Medical Biller | Medical Virtual Assistant | Revenue Cycle Specialist
Cotabato City
Summary
Accomplished Medical Biller and Virtual Assistant at Hello Rache, adept in claims review and patient billing, with a proven track record of reducing claim denials and enhancing client satisfaction. Skilled in HIPAA compliance and electronic health record software, I excel in high-pressure situations, ensuring meticulous attention to detail and empathy in customer interactions.
Overview
4
4
years of professional experience
Work History
Medical Biller
Hello Rache
01.2022 - 01.2025
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
Medical Virtual Assistant
Hello Rache
01.2021 - 01.2022
- Monitored emails, organized inbox, and prioritized messages for supervisor.
- Set up virtual Zoom meetings, invited guests and disseminated agendas.
- Elevated client experience by providing timely customer support via phone calls, emails, and live chat platforms.
- Maintained a well-organized database system for improved information accessibility in daily operations.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
Associate of Science - Medical Billing
HIM Technology Institute
Makati City, Manila 05.2001 -
Bachelor of Science - Nursing
Notre Dame Hospital And Siena College of Cotabato
Cotabato City 05.2001 -
Skills
Medical transcription
Claims review
Billing and collection procedures
HIPAA compliance certification
CPT knowledge
ICD-10 proficiency
CMS-1500 billing forms
Data entry
Claim submission
Patient billing
HIPAA compliance
Electronic health record software
Specialty
Behavioral Health
Pain Management
Mental Practice
Aging Reports Management
Timeline
Medical Biller
Hello Rache
01.2022 - 01.2025
Medical Virtual Assistant
Hello Rache
01.2021 - 01.2022
Associate of Science - Medical Billing
HIM Technology Institute
05.2001 -
Bachelor of Science - Nursing
Notre Dame Hospital And Siena College of Cotabato
05.2001 -
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