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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