Ronnel Abrea

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Billing Liaison

Advanced Spine And Pain Center

Apr 2025 - May 2026 (1 year 2 months)

• Assisting patient calls in payment collection, scheduling (set appointment and inquiries). • Calling patient to collect and/or inform them regards to their outstanding balance. • Updating the patient payment, balance and insurance payment. • Checking the status of the claim on using the provider portal or calling the insurance (for pending and denied claims, escalate it to the respected AR rep). • Facilitated the billing and insurance verification processes for the clinic's radiology services, ensuring accurate claims processing and denial management for specialized diagnostic imaging procedures.

Medical Biller

My Mountain Mover

May 2024 - Jan 2025 (9 months)

• Preparing and submitting claims to insurance and other payors, including uploading EOD, charge and payment posting • Verifying and calling insurances to check the eligibility of the patient and coverage under their plans. • Tracking and following up with the insurance companies about payments, check details and requesting copy of EOB. • Researching the denial of the claims and coordinating with the insurance regards to the necessary documents needed to reprocess the claim. • Specialized in billing for radiology services, ensuring accurate documentation and coding compliance to expedite reimbursement and minimize claim denials within the imaging department.

Team Leader

Carenet Health

Aug 2023 - Jan 2024 (6 months)

• Oversee the operation activities of assigned staff ensuring a balance of optimum productivity and service level goals are maintained; serve as a knowledge base for staff to provide direction and assistance in operational efforts, proactively offer consultative advice • Ensure team is meeting quality expectations through required call monitoring audits, coaching and counseling processes. • Ensures employee development through training, coaching, mentoring and providing appropriate training through various media to achieve highly motivated and quality performers. • Assess hiring, staffing, and training needs of team and make recommendations to Team Manager.

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Supervisor

MedMedtrix (Health Information Management)

Feb 2023 - Jul 2023 (6 months)

• Supervising the revenue cycle department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing. Reducing billing errors and streamlining the payment process. • Reviews patient account credit balance to determine required transaction. Makes the appropriate refund, adjustment, or correction entry as necessary. • Reconciles bank and patient accounts which may include research, payment transfer or payment refund. • Utilized specialized knowledge in radiology to accurately bill and submit claims for complex diagnostic services, ensuring proper coding and reimbursement within the revenue cycle.

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Team Leader

Sitel Goup (previously Sykes Asia)

Jun 2021 - Jan 2023 (1 year 8 months)

• Conducts weekly review of the agent's performance based on the quality monitoring, CSAT scores and other KPIs related performance. • Responsible for day-to-day monitoring and reviewing cases for back office. • Sending recommendations, clarifications, and updates to clients (example: processes, tool issues.) • Responsible for agent coaching to improve their Key Indicator Performance. • Coordinate with the Quality and Training Team for updates in regards with the processes.

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Customer Service Representative

Sitel Goup (previously Sykes Asia)

Jun 2019 - Jul 2021 (2 years 2 months)

• Handling inbound calls assisting customers do troubleshooting with their DME device (CGM). • Act as an SME – assisting newly hired agents to be endorsed to production. • Act as a POC task – call listening for CSAT review, quality score review (for possible dispute).

Customer Service Representative

Hinduja Global Solutions

Nov 2016 - May 2019 (2 years 7 months)

• Taking inbound calls to provide the statues of the claims, member eligibility, benefits verification and adjudication of the processed claims. • Compiling and analyses claims-associated data and perform related duties including tracking trends, noting patterns, and watching to detect any irregularities. • Analyze incoming medical claims using ICD-9, CPT, HCPCS coding, and Medicare fee schedules. • Review medical records to determine if the ICD-9, CPT codes and modifiers are processed correctly. • Adhere to the HIPAA privacy, security regulations, and maintain confidentiality of patient a business record. • Managed claims and benefits verification specifically for radiology services, ensuring accurate billing and coding practices for compl

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