Vernie Sasing

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Senior Accounts Receivable Analyst

Visaya KPO

Oct 2024 - Apr 2026 (1 year 7 months)

• Doing claims status, resubmission and correction. • Inbound and outbound calls with different payers, medicare managed and commercial plans. • Claims adjustments per the client's SOP. • Resolving claims denials and submitting disputes, appeals, corrected claims or escalating concerns to get the claim reprocess as necessary. • Identifying and resolving the patient's correct coordination of benefits. • Reporting denial trends per payer or any credentialing issue with the provider's contract per payer. • Managed accounts receivable tasks within a multi-specialty physician group, utilizing specialized knowledge of radiology services to ensure accurate billing, coding compliance, and reimbursement for complex diagnostic procedures. System use

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Claims Billing and AR Specialist

KMC MAG

Nov 2022 - Oct 2024 (2 years)

• Claims adjustments, follow ups and escalation. • Claims coordination with payers and reporting denial trends. • Claims filing and resubmission. • Appeals submission and payment encoding and tracking. • Inbound and outbound follow up with payers, facilities and patients. • Reaching out to patient for any self-pay balances and COB updates. • Doing special projects for high dollar accounts and underpayments per contract. • Utilized diverse clinical knowledge to manage billing for a multi-specialty group, including the processing and coordination of complex radiology claims to ensure accurate reimbursement. System used Cerner EDM, Invision, Powerchart, Microsoft Teams, and provider portals.

Accounts Receivable Specialist

MicroSourcing

Jan 2020 - Oct 2022 (2 years 10 months)

• Inbound and outbound calls to payers for claims follow up or dispute denials. • Rebilling and corrected claims resubmission. • Identifying each payers IPA group and resolving par status with each payers. • Appeals submission and payment encoding and tracking. • Follow up with payers, facilities and patients. • Leveraged comprehensive knowledge of radiology billing workflows to accurately process claims within our multi-specialty group, ensuring precise coding and reimbursement for specialized imaging services. • Utilized systems including Cerner, Pathway, ePremis ChangeHealth, Nthrive, Powerchart, and Bria to manage accounts receivable efficiently. • Facilitated seamless communication and project coordination across departments using Micr

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Medical Biller

ARMCO

Jan 2019 - Dec 2019 (1 year)

• Resolve claims denials in a timely manner. • Claims collection and payment posting. • Claims filing and resubmission. • Claims follow up and coordinate with payers, physicians office and patients. • Appeals and corrected claims submission thru provider portals. • Auditing team quality work on claims submissions. Systems used Cerner, ePremis ChangeHealth and Epic

Account Recovery Specialist ( COB )

Optum

Oct 2017 - Jan 2019 (1 year 4 months)

• Investigate correct coordination of benefits on patient's insurance and determine the correct primacy • Coordinate with the claims department for an appropriate action to correctly adjudicate the claim • Contacting the insurance, providers, and member for additional information to properly keep updated data of the member's insurance

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Claims Analyst Team Lead / Assistant Medical Underwriter

Platinum Insurance, Dubai

Feb 2017 - Dec 2017 (11 months)

• Delegation of monthly quotas to agents • Monthly reports to manager of claims collections • Issues policy plan for small group companies • Managing addition and termination of plan policy. • Claims coordination with payers, hospitals, company administrators and insured. • Claims submissions and claims follow ups.

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Claims Customer Representative/ Assistant Lead / Claims Processor

HINDUJA

Apr 2012 - Dec 2016 (4 years 9 months)

• Inbound calls with providers address eligibility, claims and authorization. • Assist in obtaining and approval of an authorization/referral • Claims processing / adjudication. • Send EOD reports, monthly audits and coaching.

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General Transcriptionist

GeBO E-Trans

Sep 2009 - Feb 2012 (2 years 6 months)

• Data encoding • General transcription on various projects

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Voluntary Nursing Assistant

Soriano - Leyble Maternity and Medical Hospital

Oct 2006 - Mar 2007 (6 months)

Assisting patients in the admission, taking patients information. Checking their vital signs (blood pressure, temperature, pulse rate etc.). Helping nurses attending patient needs in the ward such as monitoring intake and output, checking and adjusting IV drips.

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