PAULINE ALANIS CANONIGO
Davao City • - •-
SUMMARY
Detail-oriented and highly organized Medical Billing Specialist and AR specialist, Proficient in patient
record review, diagnosis and procedure coding, and ensuring insurance claims are submitted accurately
and on time. Strong problem-solving skills and exceptional communication abilities, with a commitment to
maintaining the highest standards of confidentiality and compliance.
WORK EXPERIENCE
MEDICAL BILLING SPECIALIST - PROFESSIONAL RECOVERY NETWORK, LLC
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Charge Entry, Payment Posting
Do Medicare and medical reviews.
Review remits and payer correspondence and escalate any identified issues to appropriate areas
for review and response to expedite claim resolution Insurance verification, authorization, and
appeals.
Submit billing data to appropriate insurance providers
Process claims and resolve denials to ensure maximum reimbursement Payment Posting
Assist patient's inquiries with payments and eligibility Follow up unpaid claims to appropriate
parties/payers.
ECOMMERCE VIRTUAL ASSISTANT - NEKTECK COMPANY
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Complete and submit claim paperwork and invoices to UPS for timely processing.
Monitor and follow up on claim files, ensuring all necessary documentation is provided and
follow-up emails are sent to UPS as required.
Generate accurate Bill of Lading (BOL) and Proof of Delivery (POD) documents to
accompany shipments.
Perform meticulous data entry tasks to maintain detailed records of shipments and claims
Upload Bill of Lading documents to relevant systems or platforms for documentation and
tracking purposes.
CUSTOMER SERVICE REPRESENTATIVE - TELEPERFORMANCE
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Responding to customer queries in a timely and accurate way via phone and chat
Resolve customer issues and complaints effectively, aiming for first-call resolution whenever
possible to ensure a positive customer experience.
ADDITIONAL INFORMATION
Tools Proficiency: DrChrono, Tebra/Kareo, Office Ally, Nextgen, Simple Practice, RESource,
Intergy, Waystar, Microsoft Excel
Skills: Denial Management, Claim Submission, Follow-up on unpaid medical bills, Medical
Terminologies, Knowledge in several different CRMs, insurance verification and authorization,
Payment Posting, Excellent oral and written communication skills, Ability to prioritize and meet
deadlines, Time Management Skills, Strong attention to detail, Critical Thinking Skills
