Fatima Mel L. Gerasmio

Fatima Mel L. Gerasmio Since 2016, I have been working as a medical biller with a focus on professional claims. My range of expertise includes essential tasks such as insurance verification, authorization acquisition, the creation of claims, handling rejections, and managing denials. I hope to use and share my skills to help your company succeed and grow. Education 2011 Bachelor of Science in Nursing University of the Visayas 2017 Passed PHILIPPINE NURSES LICENSURE EXAMINATION PHRN Experience Apr 2021 - May 2025 PCHS (Part - time) Insurance Verification and Authorization Specialist Verify patient’s eligibility with different insurance portal Request authorization for home health care services Input the patient’s demographics and insurance details in EHR Send appeals for authorization and claim denials Upload all demographics, insurance (authorization and claims) related documents in EHR Nov 2016 - May 2024 WRS Health Tools Canva Clearinghouses: Movavi TriZetto Microsoft: Phicure Outlook Change Word Healthcare Excel Powerpoint Google: Drive Sheets Mail Communication: Slack Microsoft Teams Meeting Platforms: Skype Zoom GoToMeeting GoogleMeet EMR: Kareo Wellsky WRS Health Athena Insurance Portals: Connex Availity Optum CHAMPS, etc. Languages • English • Deutsch • Tagalog US Medical Billing representative My primary task is to assist US doctors, our clients, in billing various medical insurances of their patients. Creating the claims with correct information such as patient’s demographics, diagnosis and procedure codes as well as the facility where the service arerendered. Communicate with the insurances to follow up on payments and inquire the status of the claims. Posting the payments from the insurance. Verify diagnosis and procedures done in patient’s chart Apr 2014 - Mar 2016 Concentrix (Cebu City, Philippines) Program Ready Trainer A trainer's task is to provide education through each training phase. Introductory course is the basic of the healthcare industry in the US, since my acct is specific to that. We incorporate grammar module in this phase as well. Next phase of training is now concentrated on product specific topics. Sharing knowledge is not the only mantra of a trainer but it involves classroom facilitation and people management. Also know how to approach adult learners and the like. Mar 2012 - Nov 2020 RareJob Philippines, Inc. ESL Tutor I worked for an Online English school that catered to many Asian students - most particularly Japanese. This developed my communication skills with most Asian foreigners despite the language barrier. Moreover, I have developed my English skills through the daily lessons.