MARBIL ANN LEE
RCM SPECIALIST
I am an experienced Medical biller/Claim
Analyst specializing in the processing and
effective reviewing of medical claims in
EXPERIENCE
Fulgent Therapeutics LLC
Team Lead Medical Billing &
Collection
Oct 2021 - April 2022
the freelancing industry today. My goal is
to be of service to a client's business
Maintaining cordial relationships with team
members
needs to ensure claims are being billed
Carry out Team member's performance
timely and appropriately to avoid denials
reviews at the regular intervals
and future rejection and to ensure correct
Production Planning & Control, Process
monitoring, Assignment & review of
payment.
workload, analysis of SLA parameters viz.
team performance and planning continuous
--
improvement in performance, process
optimization, adherence to reporting
schedules and maintaining all necessary
https://www.linkedin.com/in/marbilann-lee-b-/
process documentation
Constant monitoring of Team performance,
No 44 narra st emerson subd saog
marilao bulacan Philippines 3019
SPECIALIZATIONS
evaluation, and feedback to the
Management
Sales Order Auditor DME
GoodKnight Medical | Jan 4 2018- Oct 2021
HIPAA
ICD-10, CPT, and Medical
Terminology
CPT, HCPCS, DX
Make sure all the sales order is complete.
Pt must have correct ins information.
Medical terminology
The delivery address must be correct.
Ub04 cms1500/hcfa1500
All the orders must have an auth if needed.
Productivity
Various Practice Management Software
Claim Entry
Payment Posting
SYSTEM TOOLS
Medical Biller
Optum/UHG I May 2013- Jan 2018
Review Medical Claims before submitting
them to the insurance provider.
G Suite
Brithree
E-clinical works/ECW
Citrix
Optum 360 system
Kareo
Check patient eligibility and benefits
verification Creating medical claims.
Medical Reviewer
EXL Services July 2011- May 2013
Availity/AZ blue/ navinet/
Noridian/ Medi-cal website
EDUCATION
University of the East
Bachelor of Science in Management in
accounting
S.Y-
PERSONAL REFERENCE
Rochelle Murcia
-
Auditor GoodKnight Medical
Analyze patient account discrepancies, and
analyze Eid and payment posting.
Working under a working compensation
account
Claim Analyst
Accenture Nov 2008- Dec 2010
Ensure all patient and claims information is
correct. Update any incorrect information
found in the claim. Paying, denying, or
pending patient claims depending on their
coverage.
