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Nikkhie Deogracias

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Medical, Dental & Behavioral Health Billing Specialist | Revenue Cycle Management (RCM)
Huntington Beach, California, United States

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Résumé


Jobs verified_user 0% verified
  • Berry Virtual
    Mental Health Virtual Assistant
    Berry Virtual
    Jun 2025 - Feb 2026 (9 months)
    • Managed scheduling and calendar coordination for therapists
    and counselors
    • Processed claims, payment posting, invoicing, and follow-ups
    • Verified insurance eligibility and benefits for patients
    • Submitted and tracked claims via SimplePractice, Payspan,
    and ePaces
    • Initiated single case agreements and handled appeals
    • Generated reports using system analytics to track billing
    performance
    • Maintained accurate patient records and EMR data
    • Conducted inbound/outbound calls for scheduling and billing
    concerns
  • D
    Insurance Verification Specialist
    Deel PH
    Mar 2025 - Jun 2025 (4 months)
    • Verified insurance coverage for patients in nursing and assisted
    living facilities
    • Updated primary and secondary payer information
    • Ensured accuracy of patient eligibility to prevent claim denials
    • Coordinated with payers to confirm active coverage and
    benefits
  • S
    Medical Billing Coordinator / Team Lead
    Sleep Technologies LTD
    Jul 2021 - Mar 2025 (3 years 9 months)
    • Led billing operations and supervised team performance
    • Managed intake, claims processing, renewals, and payment
    posting
    • Utilized systems such as EPIC, Brightree, SNAP, Niko Health, and
    Parachute
    • Maintained accurate patient records including authorizations
    and documentation
    • Verified insurance and prior authorizations using Availity, CGS,
    Noridian, Navinet, and other portals
    • Investigated and resolved claim denials related to eligibility
    and documentation
    • Negotiated claim settlements and recommended escalation
    when necessary
    • Trained and mentored new hires to improve team productivity
    • Generated performance reports and identified process
    improvements
  • S
    Medical Customer Service Representative (Tier II / SME)
    Sagility PH (Hinduja Global Solutions)
    Sep 2014 - Jul 2021 (6 years 11 months)
    • Served as primary contact for healthcare providers handling
    insurance inquiries
    • Supported medical, dental, behavioral, and vision coverage
    concerns
    • Guided providers through claims review and authorization
    processes
    • Coordinated with claims teams to ensure accurate
    adjudication
    • Prepared and sent EOBs, determination letters, and medical
    documentation
    • Conducted call audits and quality checks to maintain service
    standards
    • Generated reports to track team performance and improve
    workflows
    • Participated in special projects including call transcription and
    data analysis
Education verified_user 0% verified
  • GOLDEN WEST COLLEGE
    Practical Nursing
    GOLDEN WEST COLLEGE
    Jan 2012 - Dec 2014 (3 years)
  • S
    Bachelor of Science in Nursing (Undergraduate)
    Saint Louis University, Baguio City
    Jan 2009 - Dec 2011 (3 years)
  • L
    Lean Six Sigma Yellow Belt
  • D
    Dental Receptionist Certified
  • H
    HIPAA Certified