July Ulbenario

ULBENARIO, JULY JONE Profile Gender:Male Age:28 y/o Date of Birth:July 23, 1990 Civil Status:Single Citizenship:Filipino Contact No.: - E-mail Address:-Skype:July Ulbenario (julbenario) Objective To build long-term career in medical billing industry with opportunities for career growth. Work Experience MTBC – Medical Transcription Billing Company (Virtual Assistant via virtualcareer.com.ph) Medical Billing Service for Practice and Billing Management Duration: April 2015 – July 2018 Position: Billing Service Representative (Practice and AR Representative) Job Description: Creates Institutional and Professional claim from charges submitted either EMR or superbills, seeing to it that appropriate ICD10 and CPT codes are being used Taking necessary actions on hold claims Denial Management (Calling insurance on unpaid claims) Working on Outstanding Claims Checking claim status through websites Claims Filing Work on Clearinghouse rejections Presenting the status reports of the payments to the client on monthly/weekly basis Submitting Medical records/other Documentation All the claims are tracked until they are paid. Every payment is checked against the carrier’s fee schedule Appealing and get payments Timely Filing Claims Reviewing and appealing unpaid and denied claims Using coded data to produce and submit claims to insurance companies Management information reports in Excel sheets Researching / Analyzing and resolving the Claims by Calling up Insurance and taking the Claim Status and work accordingly and also billing insurance electronically when required Worked across all payer including Medicare, Medicaid, Tricare, etc. Good knowledge in Insurance refund’s Review explanation of benefits very carefully to ensure each claim was processed properly Write offs, coinsurance and deductibles are calculated and allocated appropriately, and bill patients immediately upon EOB posting Adelphi Medical Staffing (Virtual assistant via adelphi medical staffing) Data Entry, Lead Generation and Recruitment Services Position: Part time Data Entry Specialist Duration: February 2017 – January 2018 Job Description: Collects Doctor’s information from certain job boards such as MD Job site, Doc Café, PhysEmp, CareerVitals, and etc. Generates list of collected data and compiled in spreadsheet for recruitment purposes 51talk.com Online English Platform Position: Regular Part-time Online English Tutor Specialization: Business English; Daily English Duration: October 2014 – April 2015 Comfort Sleep Services Medical Billing Service for DME Providers Position: Billing Specialist Duration: March 2013 – April 2015 Job Description: Taking necessary actions on hold claims Denial Management (Calling insurance on unpaid claims) Working on Outstanding Claims Checking claim status through websites All the claims are tracked until they are paid. Every payment is checked against the carrier’s fee schedule Appealing and get payments Timely Filing Claims Reviewing and appealing unpaid and denied claims Submitting Medical records/other Documentation All the claims are tracked until they are paid. Every payment is checked against the carrier’s fee schedule Appealing and get payments Timely Filing Claims Reviewing and appealing unpaid and denied claims eTelecare Global Solutions Business Process Outsourcing Position: Technical Service Representative Duration: October 2010 – March 2013 Job Description: Works in a fast-paced call center environment to take incoming technical calls from customers Listen then analyze, troubleshoot and resolves technical issues for Voice, Internet or Data Installation and Connection issues Other Qualifications and Skills Diligent, hardworking, patient, and with a solid background on healthcare field especially in a clinical, out-patient, and community setup With strong sense of commitment and passion to deliver high quality of work in any area or task assigned Self-motivated and with eagerness to learn and improve Fast learner can work with minimal supervision Flexible and can perform well even under pressure Excels at multi-tasking in a fast-paced environment Excels in a thorough assessment of clients and develop necessary treatments and interventions With good analytical and communication skills With good computer skills and with proficiency in MS Office and other softwares Educational Background Tertiary: Systems Technology Institute (2010) Degree:Bachelor of Science in Nursing Selected Achievements:Best in Academics, Best Clinician, Child and Family Choice Award Secondary:Francisco Bangoy National High School (2006) Elementary:St. Thomas Primary School (2002) Organization Philippine Nurses Association (PNA) Member Credentials Registered Nurse (License No-) Intravenous Therapy Nurse (Card No-) Certification Standard First Aid Training and Basic Life Support--Cardiopulmonary Resuscitation Training for Healthcare Providers The Philippine National Red Cross (PNRC) —2010 Other Trainings Attended Training for Medical Transcriptionist/Billing Asian College of Science and Technology Foundation, Inc. (ACSTFI) Accredited by Technical Education and Skills Development Authority (TESDA) 2010