Rochelle

Rochelle Allado Milar 20 Gladiola St. Upper QM, Baguio City- Objective Seeking a challenging career with a progressive organization that provides an opportunity to exploit my skills and abilities in the field of Science, Medical and Customer Service. Exceptional ability to gather, record, organize, transcribe and verify accuracy of data, along with deep insight into setting up research database files. Skills Customer service skills for interacting with customers regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Knowledge of U.S. Insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. Familiarity with CPT and ICD-10 Coding. Knowledge of medical terminology likely to be encountered in medical claims. Maintaining patient confidentiality as per the HIPAA Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion. Professional History Louisian Child Care Center | January 2016 - May 2016 Student Assistant | January 2016 - May 2016 51Talk International | October 2016 – February 2017 ESL Teacher (English as Second Language) ETAIROS BPOS / Vegas Medical Supplies and LifeCare (Supervisor) | October 2017 – October 2018 Medical Biller Specialist – Submitting claims to US Health Insurance companies. Checking eligibility and benefits verification for treatments, hospitalizations, and procedures. Accounts Receivable Specialist – Collecting payments from US Health Insurance companies and setting up patient payment plans and work collection accounts. Calling insurance companies regarding any discrepancy in payments if necessary. Prior-Authorization Specialist - Obtaining referrals and pre-authorizations as required for procedures Medical Coder – Extracting relevant information from patient records. Assigning CPT, HCPCS, ICD-10-CM and ASA codes. QA World (Transcriptionist) |Part-time Transcribes audio recordings from BPO companies. HEALTHYBOS / Pacific Pulmonary Services (Medical Consultant) | November 3, 2018 – March 2020 Medical Records Analyst - Examining documents for missing information based on Insurance guidelines. Document Retrieval – Calling Doctor’s offices for Health records needed for billing. Liaising with physicians and other parties to clarify information. Inbound/Outbound Calls – Calling and answering all patient/Doctor or insurance telephone inquiries pertaining to assigned accounts. EZ SLEEP CLUB (Medical Consultant) | April 2020 – April 2021 Appointment Setter – Calling and scheduling a Diagnostic/Laboratory testing for patients from Doctor referrals. Accepting calls from patients and Doctor office for inquiries. Insurance Verification – Calling Insurance to ensure that patients’ health care benefits cover required procedures and to verify coverage levels and works with patients to educate them on their benefits information. Medical Records Analyst - Examining documents for missing information based on Insurance guidelines. Document Retrieval – Calling Doctor’s offices for Health records needed for billing. Liaising with physicians and other parties to clarify information. Virtual Assistant HOME OXYGEN COMPANY (Intake Representative) | April 2021 – July 2021 Medical Records Analyst - Examining documents for missing information based on Insurance guidelines. Document Retrieval – Calling Doctor’s offices for Health records needed for billing. Liaising with physicians and other parties to clarify information. Inbound/Outbound Calls – Calling and answering all patient/Doctor or insurance telephone inquiries pertaining to assigned accounts. Prior-Authorization Specialist - Obtaining referrals and pre-authorizations as required for procedures Medical Coder – Extracting relevant information from patient records. Assigning CPT, HCPCS, ICD-10-CM and ASA codes. Release orders for delivery after Insurance verification medical necessity process has been completed. Submit order(s) to warehouse for delivery. HEALTHCLIX (Medical Biller/Coder) | August 2021 – October 2021 Medical Coder – Extracting relevant information from patient records. Assigning CPT, HCPCS, ICD-10-CM and ASA codes. Responsible for reviewing a patient’s medical records after a visit and translating the information into codes that insurers use to process claims from patients Education Degree | Date Earned | School Bachelor of Science in Biology | 2016 | Saint Louis University Bachelor in Secondary Education major in Biological Sciences | 2016 | Saint Louis University