Frenzie lai Thornton

Frenzie lai Thornton

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Medical Billing & Administrative Support Specialist | Insurance Payment Posting | Claims & Collections | Healthcare Administration
Province of Cavite, Philippines

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Résumé


Jobs verified_user 0% verified
  • Janie Jobs
    Collections Representative
    Janie Jobs
    Jan 2026 - Current (5 months)
    Managed and collected outstanding medical liens by coordinating with insurance companies, attorneys, and responsible parties. Monitored account statuses, followed up on unpaid balances, and ensured timely resolution of claims. Maintained accurate records, resolved payment disputes, and provided professional communication to support consistent cash flow and strong client relationships.
  • Kinetic Innovative Staffing
    Insurance Payment Posting Specialist
    Kinetic Innovative Staffing
    Dec 2024 - Current (1 year 6 months)
    Remit Extraction: Access multiple insurance websites, clearinghouses, and other external portals to pull remittance advice (remits) for claims processed by various insurers. Use automated tools or manual retrieval methods to download remits in formats such as PDF, EDI, or CSV, ensuring accurate and timely extraction of data. Data Extraction and Validation: Review and extract relevant patient and payment information from the remits, including claim numbers, patient IDs, payment amounts, and any adjustments or denials. Ensure the accuracy and completeness of extracted data, flagging any discrepancies or issues for further review. Conduct data validation to ensure that all remittance details match the claim and billing information in the syste
  • C
    Insurance Payment Posting Specialist | Collections & Admin Assistant
    CALIFORNIA USA
    May 2024 - Jul 2025 (1 year 3 months)
    - Processed and posted insurance payments, adjustments, and denials with accuracy. - Conducted insurance eligibility and benefits verification for active coverage, deductibles, copays, and coinsurance. - Managed collections by following up on unpaid claims and patient balances, reducing outstanding receivables. - Supported administrative functions: scheduling, data entry, email management, SOP documentation. - Ensured strict adherence to HIPAA and payer compliance guidelines.
  • freelance
    Medical Biller Specialist
    freelance
    Mar 2022 - Apr 2024 (2 years 2 months)
    -Charge Entry: Accurately enter patient charges, including services, procedures, and diagnoses into the billing system. -Claims Submission: Prepare and submit claims to insurance companies or other payers, ensuring all necessary documentation and information are included. -Accounts Receivables Follow-up: Monitor and manage outstanding accounts receivable, follow up on unpaid claims, and address any issues that arise. -Denial Management: Review and analyze denied claims, identify reasons for denials, and take corrective actions or resubmit claims as needed. -Payment Posting: Post payments and adjustments to patient accounts, reconciling payments with billed amounts and resolving discrepancies. -Appeals: Prepare and submit appeals for denied
  • L
    Local Travel and Tours Business
    Le Morningstar Travel and Tours
    Sep 2021 - Mar 2024 (2 years 7 months)
    As the owner and operator of a local travel and tours business, I was responsible for creating memorable travel experiences that highlighted the area's attractions. Key responsibilities included: Business Development: Implementing marketing strategies to attract clients through social media and community outreach. Tour Planning: Designing itineraries that offered a mix of cultural, recreational, and educational experiences. Customer Service: Ensuring exceptional service by addressing inquiries and resolving issues during tours. Logistics Management: Coordinating transportation, accommodations, and activities for seamless tour execution. Financial Management: Overseeing budgets and pricing to maintain profitability. Networking: Building rela
  • P
    Medical Billing Assistant
    Premier Medical Billing
    Mar 2021 - Apr 2024 (3 years 2 months)
    - Submitted insurance claims with complete documentation, reducing rejections. - Monitored accounts receivable aging and followed up on unpaid claims. - Reconciled patient accounts by posting payments and resolving discrepancies. - Provided administrative support: scheduling, email management, invoicing, SOP creation. = Pulled and posted insurance remittances accurately.
  • Freelancer
    Virtual Assistant / Psychotherapist Assistant
    Freelancer
    Sep 2018 - Mar 2019 (7 months)
    - Supported mental health and community outreach initiatives, including school-based programs on mental health awareness and clean water access. - Represented the psychotherapist in meetings with partner organizations and stakeholders. - Administered and scored psychological assessments under professional supervision. - Managed client scheduling, outreach projects, and administrative tasks to ensure efficient operations.
  • Ibex
    TECHNICALSUPPORT REPRESENTATIVE
    Ibex
    Oct 2015 - Apr 2016 (7 months)
    - Provided technical assistance to customers through phone, email and chat support. - Troubleshoot customer inquiries related to software and hardware issues. - Resolved escalated customer service issues in a timely manner. - Assisted customers with installation of new hardware and software applications. - Diagnosed system errors and implemented solutions to resolve them. - Maintained detailed records of customer interactions and transactions. - Identified potential areas for improvement in existing products or services. - Ensured compliance with company policies and procedures regarding technical support operations
  • COCACOLA FEMSA
    Pre-Seller
    COCACOLA FEMSA
    Aug 2013 - Jan 2014 (6 months)
    Achieve the daily and monthly sales targets by ensuring complete and proper coverage of the allocated area; ensure that all outlets are visited in the correct sequence, follow the planned call in each outlet and make sure that they are well stocked with all our brands and packages. Ensure that shortages, outstanding and collections are settled with the Accounts Department and that cash sales are deposited with the Cashier at the end of the day.
  • L
    Guidance Counselor
    La Consolacion College Valenzuela
    Jan 2013 - Dec 2013 (1 year)
  • A
    Customer Service Representative
    Aegis People Support
    Apr 2012 - May 2012 (2 months)
Education verified_user 0% verified
  • P
    Medical Insurance Specialist/Medical Biller, Medical Insurance Specialist/Medical Biller
    Premier Medical Billing Academy
    Jan 2024 - Dec 2024 (1 year)
    Key components of the training include: Medical Terminology: Understanding medical terms and diagnoses for accurate coding. Coding Systems: Learning ICD-10, CPT, and HCPCS for proper billing. Billing Software: Gaining proficiency in medical billing software and EHR systems. Claims Processing: Preparing and submitting insurance claims and following up on unpaid claims. Regulatory Compliance: Knowledge of HIPAA and other healthcare regulations. Financial Management: Basic accounting principles to understand healthcare finances. Communication Skills: Interacting effectively with providers, insurers, and patients. Practical Experience: Internships or hands-on training in real-world settings.
  • Southville International School affiliated with Foreign Universities
    Master of Arts in Psychology, Psychology
    Southville International School affiliated with Foreign Universities
    Jan 2017 - Dec 2022 (6 years)
    completed 2 Semesters and still working on completing it as soon as possible
  • M
    Bachelor of Arts in Psychology
    Meycauayan College
    Jan 2009 - Dec 2013 (5 years)