Ma. Michelle Moral Bobis

Ma. Michelle M. Bobis Address: 11 Balagtas St. Fortune, Marikina City Mobile #:- Email:- EXPERTISE           Demographics / Charge Entry Claim Rejection and Denial Review Insurance & Patient Payment Posting PM System: Kareo, Athena Health, Advance-MD, Criterion, Practice Fusion, E-thomas Familiarity with Medicare, Medicaid, Commercial Insurance billing (UHC, BCBS, Aetna, Humana) Knowledge of CPT, HCPCS and ICD 10 (including basic understanding of Medical Terminology) Workers Comp Coordination of Benefits Pediatrics, Internal Medicine, Podiatry, Urgent Care, Orthopedics and Sports Medicine, Physical Therapy Office visit, DME, laboratory and hospital billing TRAINING AND CERTIFICATES      Certificate of Completion in Texas State Specific HIPAA Privacy Addendum (Includes House Bill 300, State Bill 1609, 1610) Certificate of Completion in HIPAA FOR BUSINESS ASSOCIATES Certificate of Completion in Corporate Compliance and Fraud, Waste & Abuse NC II Passer- Certified Medical Transcriptionist Civil Service Passer- Professional Level PROFESSIONAL EXPERIENCE Sourcefit Philippines Inc. Medical Biller (AR Follow-Up) October 19, 2019- Present  Checking claim status thru phone call and insurance portal, getting allowed and paid amount, payment details  Extracting and reviewing medical records in the system and sending it to insurance  Filing reconsideration/ appeals  Checking patient eligibility and benefits  Posting of patient and insurance payments  Sending out initial/ corrected claims electronically/ fax  Calling patient to get correct insurance information Heartvein NYC Ltd. Co. Medical Billing Specialist, September 2018- October 2019  Checking patient’s eligibity and benefits online and via phone  Making sure that provider is in network with the insurance, if not, at least there should be an out-ofnetwork benefits, copays and if referral is needed (for specialist visit)  Pulling out and sending medical records to the insurance, sending appeals  Sending claims manually via portal (Medicaid)  Checking claim, payment status  Creating and sending out patient statements  EOB, ERAs posting Peak Outsourcing Inc. Medical Billing Specialist, June 2017-August 2018  Entering patient and insurance information in the system  Creating charges specializes in pediatrics, internal medicine, emergency, hospital, skilled nursing  Checking of eligibility  Posting insurance checks Sourcefit Philippines, Inc. Junior Medical Biller, June 2016 to June 2017  Entering patient demographics  Creating charges, encoding CPT and diagnosis code (ICD 10) and modifiers if needed  Office visits, laboratory, physical therapy, emergency and hospital billing  Auditing and transmitting claim  Solving clearinghouse rejection  Checking insurance coverage  Insurance & patient payment posting  Generating patient statements for mailing EDUCATION TERTIARY: Polytechnic University of the Philippines BS Office Administration Major in Medical Transcription Sta. Mesa, Manila,- PERSONAL Date of Birth: Nationality: Civil Status: Religion: 11-18-95 Filipino Single Catholic