GRANDTON ALMOCERA, PTRP
MEDICAL BILLING SPECIALIST | RCM SPECIALIST | A/R SPECIALIST
PROFILE
CONTACT--
Corner Taal Rd., Matutom
St., Davao City
www.linkedin.com/in/grandto
n-almocera-ptrp-
EDUCATION-
Bachelor of Science in Physical
Therapy
ADVENTIST MEDICAL CENTER
COLLEGE
CERTIFICATIONS
2025
HIPAA CERTIFICATION PREMIER MEDICAL BILLING
ACADEMY
Compliant with HIPAA Privacy &
Security standards for medical
billing and patient data handling.
SKILLS
Revenue Cycle Management
Claims Submission & Denial
Management
Charge Entry
Claims Processing
Payment Posting (ERA/EOB)
EMR/EHR Systems
Detail-oriented Medical Billing Specialist with proven expertise in end-to-end
Revenue Cycle Management (RCM) for U.S.-based healthcare providers. Skilled
in optimizing claim accuracy, reducing denials, and accelerating reimbursement
timelines. Experienced in supporting solo practitioners and multi-provider clinics
by ensuring timely, clean claim submissions and thorough A/R follow-up,
allowing providers to focus on delivering quality patient care. HIPAA certified,
with a strong commitment to maintaining patient confidentiality and compliance
with federal privacy regulations.
WORK EXPERIENCE
PRO Network LLC - Lead Medical Biller
APR 2020 - JUNE 2025
Key Responsibilities:
Accurately enter patient demographics, coding details, and provider
information into the billing system
Submit clean claims through clearinghouses and ensure compliance with
payer-specific guidelines
Review and correct clearinghouse/payer rejections, then resubmit claims
promptly
Investigate denials, determine root causes, file appeals, and submit
corrected claims with documentation
Contact insurance payers to resolve complex denial or reimbursement
issues
Post insurance and patient payments (EOBs/ERAs) with precision and
handle necessary adjustments
Work A/R aging reports and follow up consistently to reduce outstanding
balances
Amai Pakpak Medical Center - Physical
Therapist
JAN 2019- JAN 2020
Experience with musculoskeletal, post-operative, neurological, and
geriatric cases
Strong communicator with interdisciplinary teams including physicians,
nurses, and caregivers
Emphasize goal-oriented, patient-centered care and progressive
functional improvement
Committed to building trust with patients and empowering them in their
recovery journey
CRM/SYSTEMS
Tebra/Kareo
Simple Practice
DrChrono
Prompt
AdvancedMD
PAYER PORTALS & TOOLS
Availity
Aetna CA
CCAH
Fidelis Care
Nivano
Horizon NJ
Wellpoint (Amerigroup)
Aetna Better Health Nj
Anthem Blue Cross