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Emily Medino
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Manila, Metro Manila, Philippines
Résumé
Jobs
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Medical Billing SpecialistSourcefitOct 2025 - Current (1 year)Oversue the full end to end billing of a Behavioral Health practice in TN- Medical Billing Specialist (Opthamology)Atos SyntelApr 2024 - Oct 2025 (1 year 7 months)• Prepared and submitted accurate insurance claims (CMS – 1500 form) via electronic systems,
mail, and fax, ensuring compliance with payer requirements.
• Validated CPT/HCPCS codes against NCCI edits, LCDs, and payer policy guidelines to ensure
clean claim submission.
• Accurately posted insurance and patient payments daily into the Healthcare Management
System.
• Processed adjustments and refunds in accordance with contractual agreements and payer
rules.
• Conducted timely follow-up on unpaid claims within standard billing cycle timelines to
maximize reimbursement.
• Researched and resolved claim denials and rejections through detailed analysis and
corrective action.
• Provided pr - Billing RepresentativeConifer Health SolutionsOct 2021 - Apr 2024 (2 years 7 months)• Processes accounts daily in all assigned work queues (Facility, Office & DME billing)
• Bill primary claims appropriately completing the billing requirements via electronic
submission or paper claims including any attachment of required documentation.
• Review billing editor for all edits on UB04 claim related to charges, coding, and patient
information prior to billing to minimize underpayment, denials, and re-bill attempts.
• Review the editor and/or control ID for all unbilled accounts and/or rebill requests.
• Notate accounts with proper activity codes for workflow back to the facilities for review of
unclean claims or to the appropriate department for next steps of claim workflow.
• Utilize all - SHealthcare Customer Service RepresentativeSITEL PHILIPPINESAug 2019 - Sep 2021 (2 years 2 months)• Answer call inquiries pertaining to medical insurance of customers in accordance with
standard policies and procedures
• Resolve products or service problems by clarifying the customer's issue or complaint,
provide correct solutions by determining the cause of the problem, selecting, and explaining
the best solution to solve the problem, offering alternatives within the time limits and follow
up with respective carrier to ensure resolutions
• Direct participant to proper resources for further assistance with their issues that are beyond
with our client's scope - VRecruitment Associate 2 (Experienced Hiring Team)V-Call Center Link Inc.May 2018 - Jul 2019 (1 year 3 months)• Handled end to end recruitment of IT professionals
• Screen and select resumes of qualified candidates for specific job orders or client's
requirement/requisition
• Conduct phone interviews to pre-screen candidates, verifying their qualifications, availability,
and compensation requirements
• Act as a point of contact and build influential candidate relationship during the process
• Responsible for ensuring a positive experience of every candidate by clearly communicating
the hiring process, timeframes providing honest and direct feedback and guidance for future
• Meet the target of daily/weekly/monthly recruits for bulk hiring requirements of clients
• Performs end to end recruitment and selec
Education
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- Bachelor of Science in PsychologyUniversidad De ManilaJan 2018