Donalyn Tambacan

Donalyn Tambacan - del Poso Purok 8 Malipayon, Sangat, San Fernando, Cebu Contact No. :- Email:-Skype ID: live:donalyntambacan ____________________________________________________________________________________ OBJECTIVE: ● To find a work from home job relevant to my skills and experiences as a remote U.S. medical biller and gain more skillsets in the healthcare industry EDUCATIONAL ATTAINMENT: College: Bachelor of Science in Management Accounting University of San Jose-Recoletos ______________________________________________________________________ SKILLS AND ABILITIES:  Computer Skills: o U.S. Medical Softwares(Tebra/Kareo, GeniusDocs,IMS Meditab, Daisybill, Intellect Onstaff, Tinyterm) o clearinghouses (Trizetto, Optum, Availity Realmed, Office Ally) o Google and Microsoft Applications  Strong Analytical and problem-solving skills ______________________________________________________________________ WORK EXPERIENCE: VIRTUALRNS now Virtual Ventures LLC (March 2022-August 2024) JOB DESCRIPTION: VIRTUAL MEDICAL BILLING A/R SPECIALIST  Maintain daily tracker and weekly denial and aging reports  Work on aging claims prioritizing over 90 days and big dollar amounts  Resolve rejections and denials in a timely manner  Send provider disputes and appeals for denied claims Pacific Cancer Medical Center Inc (December 2020- December 2021) JOB DESCRIPTION: MEDICAL BILLING TEAM LEAD  Train new hired billing employees  Assign tasks to team members  Assist co-team lead on tasks and urgent reports  Run bi-monthly claims report prioritizing big dollar amounts         Fix clearinghouse rejections and work on denied/partially paid or underpaid claims Create and send provider dispute resolutions/appeals Check eligibility and verify benefits for new office and hospital patients Post patient and insurance payments Run Patient/Insurance Refund Report Summary Receive Incoming calls/make outgoing calls for billing related concerns Monitor team member's assigned accounts Escalate concerns to billing manager Medspecialized, Inc. (March 2017-January 2020) JOB DESCRIPTION: Senior Medical Biller  Kick-start new projects and train employees that will be assigned to it  Serve as backup for teammates during leaves, emergencies  Assist the team lead and QA the team’s tasks  Assist on non-billing tasks like Medical Records Review and Request for Appeal of Denied Authorization for Medication and Procedure Rutherford and Hacienda Enterprises Inc. (March 2014-February 2017) JOB DESCRIPTION: Medical Billing Staff  Verify patient eligibility through insurance websites and/or phone calls  Enter Charges/Create bills in the medical software  Send medical claims to insurances and/or patients(electronic/paper)  Fix errors, check claim statuses and do A/R activities  Post Insurance and Patient Payments (EOBs, ERAs, ACHs, checks, etc) Cebu Oversea Hardware Co., Inc (July 2013-March 2014) JOB DESCRIPTION: Accounts Payable Staff- Accounting Department  Check issuance for employee advances, company payables and bank transfers  Monitor daily cash and credit records  Records keeping/receipt filing