Paolo Joshua Ancheta

PAOLO JOSHUA ANCHETA MEDICAL BILLER | VIRTUAL ASSISTANT CONTACT --Sampaloc, Manila, Philippines EDUCATION- UNIVERSITY OF THE PHILIPPINES INTERGRATED SCHOOL High School- KALAYAAN COLLEGE Bachelor of Science in Hotel and Restaurant Management SKILLS Medical Billing Knowledge with CPT, ICD-10, HCPCS Knowledge with NueMD and other similar software/EHR HIPAA Trained PROFILE Detail-oriented and reliable Medical Biller with 2+ years of experience in healthcare setting handling patient registration, charge entry, claims submission, payment posting, and denials management. I have extensive experience and knowledge with different billing software especially NueMD while maintaining high accuracy in claims submission. I also have extensive experience navigating through insurance portals for checking the patient’s eligibility and coverage and checking on the submitted claims to maximize the provider’s reimbursement and receivables. WORK EXPERIENCE Stratford Cresson Partners LLC | North West Labs Medical Biller / Claims Denial Specialist JUNE 2022- APRIL 2025 Ensure patient’s demographics are correct Check patient’s information using insurance payer portals Verify eligibility and coverage (including patient responsibilities) using insurance payer portals Assist with charge verification and charge entries Process clean and accurate claims to insurance for maximum reimbursement Perform payment posting using for not yet posted payments Extensive experience with denials management, investigate denied claims and look for claims that can be appealed or rebilled to correct insurance during the date of service Create appeal letters provided by the supervisor Make phone calls to insurance companies to verify eligibility and to follow up on submitted claims that are aging with no update on the portals Assist with other administrative tasks if necessary Attention to Detail Customer Service & Communication ATTENDED TRAININGS Light Bookkeeping (Quickbooks Online) Administrative Tasks/Assistance Fast Learner LANGUAGES English Filipino ProVA General Virtual Assistance Training Course (2024) VAs of the Future Medical Billing and Introduction to Medical Coding Training Course (2025) Freelance Academy Virtual Assistant Training Quickbooks Online Advance Training (2025) ProVA Shopify Training eCommerce & Dropshipping Online Course (2025)