Kristine Mae Sagayno

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Medical Biller

VAB RCM Group

May 2023 - Current (3 years 5 months)

➢ Resolve claim denials and manage appeals to ensure timely reimbursement. ➢ Initiate prior authorizations and verify patient eligibility/benefits. ➢ Oversee revenue cycle processes, ensuring accurate billing and collections. ➢ Communicate insurance coverage, EOBs, and balances clearly to patients. ➢ Coordinate with staff to correct scheduling/billing errors and improve workflows. ➢ Maintain compliance with HIPAA and organizational policies. ➢ Support staff training and contribute to process improvements.

V

Medical Billing Specialist

VAB RCM Group Inc

May 2023 - Aug 2025 (2 years 4 months)

Insurance Verification Team Lead

Kentucky Counseling Center

May 2022 - Oct 2022 (6 months)

Insurance Verification Specialist

Kentucky Counseling Center

May 2021 - Oct 2022 (1 year 6 months)

➢ Maintains patient demographic information and data collection systems. ➢ Verify insurance eligibility (medical and mental health) via portals or carriers. ➢ Review and record patient deductibles/copays in the billing system. ➢ Coordinate with front-end staff on scheduling and billing accuracy. ➢ Support staff in using carrier websites and verifying eligibility. ➢ Answer questions from patients, staff, and insurance companies. ➢ Assist reception to ensure clean claims and accurate billing. ➢ Update forms, manuals, and procedures as needed. ➢ Attend staff meetings and participate in trainings. ➢ Follow HIPAA guidelines and maintain confidentiality.

Billing Specialist

WRS Health

Mar 2019 - May 2021 (2 years 3 months)

Medical Biller

WRS Health

Mar 2019 - Apr 2021 (2 years 2 months)

➢ Track and maintain records of patient billing and billable items ➢ Prepare and submit billings to insurance companies or other payers ➢ Follow up om delinquent claims and past due invoices ➢ Checking each insurance payment for accuracy and compliance with contract fees. ➢ Calling insurance companies regarding any discrepancy in payments. ➢ Identifying and billing secondary or tertiary insurances. ➢ Posting insurance payments and patient's payments also.

Customer Service Specialist

Teletech Philippines

Apr 2017 - Mar 2019 (2 years)

A

English Tutor

ABC 360

Jan 2016 - Oct 2016 (10 months)

➢ Helps students to understand and learn English language ➢ Planning, preparing and delivering English lessons ➢ Helped pupils improve their listening, speaking, reading and writing skills via individual or group sessions.

A

Customer Service Representative

Applied Balance Media Inc.

Apr 2014 - Sep 2014 (6 months)

Assisting customer issues through calls

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Office Assistant

Private Consulting Firm

May 2013 - Apr 2017 (4 years)

Performs administrative and office support activities for multiple supervisors. Duties may include fielding telephone calls, receiving and directing visitors, word processing, creating spreadsheets and presentations, and filing. Extensive software skills are required, as well as Internet research abilities and strong communication skills.

W

Secretary

Wolff Consultancy and Retirement Agency

Dec 2012 - Feb 2014 (1 year 3 months)

➢ Clerical and admin task ➢ Coordinating events ➢ Experienced virtual assistant ➢ Managed filing system

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Office Assistant

Private Consulting Firm

Dec 2012 - Jul 2013 (8 months)

Performs administrative and office support activities for multiple supervisors. Duties may include fielding telephone calls, receiving and directing visitors, word processing, creating spreadsheets and presentations, and filing. Extensive software skills are required, as well as Internet research abilities and strong communication skills.

Q

Customer Service Representative

Qualfon Philippines, Inc.

Sep 2012 - Dec 2012 (4 months)

Assisting customer issues through calls

Kristine Mae Sagayno

About

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Résumé

Kristine Mae Sagayno

About

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Behavioral traits