Danilo A. Manialong Jr.

Medical Billing Skills

1.    Managed Professional/Hospital billing for providers which includes Charges, Demographics, Charges, Payments, Clearing House Rejections, & Denials.

2.    Manage Charges & Payment, Hospital / Outpatient Billing for internal medicine group, foot care, vision care, urgent care, neurology and psycho therapy care for Hawaii, Michigan, and New York providers.

I have worked on full RCM cycle in the last 9 years from the given below

*Demographics Entry

• Insurance Eligibility and verification of patient’s health benefits from insurance carrier’s website and through Phone.

• Create appointments on scheduler while receiving patient calls

*Patient Demographic Entry

• Charge Entry

• Claim Submission (Primary & Secondary Insurance)

• Payment posting (insurance and Patient payments)

• Rejection Reports

• Basic coding

• Authorization

• Insurance Verification

• Account Receivable / Follow ups

           *Accounts receivable analysis with corrective and preventive actions and decision making for Collections.

*Strong claims follow up on denials from insurances like Medicare, Medicaid, BCBS Semi Government, Managed care and Commercial Insurances (Aetna, BCBS, Cigna, UHC, Oxford etc...)

• Patient Calling

With work experience on the following PMS and EMR Software

• Akamai

• Next Gen

• Kareo

• AdvanceMD

*Med Gen

*WoundExpert

Clearing House:

*ChangeHealthCare

*Emdeon