Danica Shane Roque

DANICA SHANE ROQUE Medical Biller • Insurance Verification Specialist --live:2b1ecf1eed249589 Davao City, Philippines EDUCATION BSBA Major in Financial Management Philippine Women’s College of Davao ABOUT ME A seasoned medical biller with 8 years in healthcare insurance, specializing in insurance verification, prior authorization, and claims processing. Well-versed in Medicare, Medicaid, and commercial plans. Skilled in accurately handling intricate billing challenges and ensuring precise reimbursement for healthcare providers. WORK EXPERIENCE April 2023 - July 2024 My Virtual Pro | Texas Bookkeeper - Part Time I am tasked with entering daily transactions for all bank accounts 2018 - 2019 associated with each property I handle. My responsibilities include ensuring precise recording of financial transactions, reconciling accounts, and Bachelor of Science in Accountancy assisting in financial reporting processes. I also review monthly reports to verify their accuracy and reasonableness. University of Mindanao May 2022 - January 2024 Improved Health | New York 2014 - 2017 Medical Biller EXPERTISE Medical Billing Insurance Knowledge Administrative Tasks Detailed Oriented Research I am responsible for accurately processing and submitting medical claims to insurance companies. My duties include verifying patient insurance coverage, coding diagnoses and procedures, and ensuring compliance with billing regulations. January 2022 - January 2023 Limitlessli | Ohio Insurance Verification Specialist I am responsible for verifying patients' insurance coverage, confirming necessary authorizations and referrals, and ensuring that billing processes are accurate and timely. WORK EXPERIENCE November 2020 - November 2021 Wellfirst Sleep Diagnostics | Texas Healthcare Virtual Assistant (Full-time) I update patient demographics and reach out for missing information, especially insurance details. I verify benefits and eligibility, handle preauthorizations, calculate patient costs, and schedule appointments. I manage phone communications with patients, doctors, and insurers, process referrals and medical notes, and coordinate prescriptions for durable medical equipment providers. April 2020 - July 2021 VA4REI| Texas Bookkeeper (Part-time) I am tasked with updating accounts receivable and accounts payable daily based on bank transactions. Additionally, I ensure the reconciliation of all bank accounts to maintain accurate financial records. May 2019 - December 2019 Ilucent Outsource Solutions | BPO, PH Medical Biller I oversee the billing of healthcare insurances in the United States. My responsibilities include updating member information, reviewing and adjusting billing codes, and communicating with insurance companies via phone. Working from a medical administrative office offshore, I ensure prompt and precise billing of patient insurances. October 2018 - April 2019 Alorica Philippines, Inc. | BPO, PH Email Support Representative As an Email Support Representative for Lyft, I am primary responsible is to assist drivers and passengers through email correspondence. I address inquiries, resolve issues, and provide exceptional customer service to ensure a positive experience for all users. November 2016 - September 2018 Teleperformance Davao | BPO, PH Customer Service Representative As a Customer Service Representative, I assist members and providers with insurance inquiries via phone providing information on policies, benefits, and claims. I handle account changes, resolve issues promptly, and collaborate with teams to ensure excellent service and accurate records.