J O H N M I C H A E L AQ U I N O
Phone No. - , email:-,
MEDICAL BILLER SPECIALIST | DENIAL MANAGEMENT
SUMMARY
I've had the opportunity to develop a solid foundation in medical billing, with a
particular
focus
on
denial
management.
I've
gained
hands-on
experience
in
identifying, analyzing and resolving claim denials. I've also become proficient in using
NueMD, eMEDIX, Navinet and Payer Portals like, Availity, Priority Health, MCR, MCD,
UHC, etc.. to track denials, verify patient insurance and resubmit corrected claims. I've
been responsible for tracking every ticket through organized data entry in Google
Sheets. This helps our team maintain clear records of claim issues, denials, and followups. I've also gained hands-on experience posting payments and updates directly in
NueMD, ensuring that the patient accounts and insurance claims are accurately
reflected.
WORK EXPERIENCE
Stratford Cresson Partners LLC
February 2024 - June 2025
Denial Management: Analyzing denial reasons, appealing
denied claims, and implementing strategies to reduce future
denials.
Appeals Process Management: Managing the appeals process
for denied claims, including gathering necessary
documentation and resubmitting claims.
Claims Tracking: Utilizing software to track the status of
submitted claims and identifying trends in claim processing
times.
Payment Posting: Recording payments received from patients
and insurers and updating accounts accordingly.
CBS is a billing provider
Insurance Verification: Confirming coverage and benefits with
specializing in Physical Therapy
insurance providers before services are rendered.
in New Jersey.
Claim
October 2022 - January 2024
Submission:
Preparing
and
submitting
claims
to
insurance companies for reimbursement.
Follow-Up on Claims: Monitoring the status of claims and
following up on any denied or unpaid claims.
Accounts
Receivable
Management:
Managing
outstanding
invoices and working to collect overdue payments.
Compliance:
Ensuring
all
billing
practices
comply
with
regulations, including HIPAA and payer-specific guidelines.
Patient Billing: Creating and sending out invoices to patients
for any balances due after insurance payments.
KEY SKILLS
CRM / SYSTEM
Medical Billing & Coding
Project Management
Electronic Medical Record (EMR)
Attention to Detail
Insurance Denials
Microsoft Office Tools
Revenue Cycle Management
Data Entry
NueMD
Priority Health / PRISM
Navinet
HAP
eMEDIX
UNITED HEALTH CARE
Availity
TOTAL HEALTH CARE
CHAMPS / MCD
MERIDIAN
WPS / MCR
MERITAIN
CIGNA
MCLAREN
