Rossbrielle D. Sasing

Rossbrielle D. Sasing 415-A Kamagong St Prk Sto. Nino Buhangin, Davao City Mobile No.: - Email Add.:-Skype ID: rossbrielle.sasing8 QUALIFICATION SUMMARY Trustworthy, committed to superior clientele service. Have enough confidence in interaction with individuals at all levels; Detail-oriented and resourceful in completing projects; able to multitask effectively. PERSONAL DATA Age: Date of Birth: Place of Birth: Gender: Civil Status: Height: Weight: Nationality: Religion: 23 y/o July 08, 1995 Davao City Female Single 5’3 121lbs Filipino Roman Catholic EDUCATION Bachelor of Science in Nursing Davao Doctors College - Secondary Bernardo D. Carpio National High School - Elementary Buhangin Central Elementary School - WORK EXPERIENCE Next BPO Solutions (Sleep Circle now Lincare) Title: Billing Specialist / Trainer Address: Reyna Bldg., Quimpo Blvd., Ecoland, Davao City October 2014 – June 2016 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Verify patient medical insurance via phone or website. Document all information in computer system. Responsible for the pre-verification of insurance for patients. Ensures insurance coverage by telephone, resolves any issues within coverage and scope of support. Processes Order Authentication for Durable Medical Equipment based on Doctor's prescription. Ensures that the Patient's benefit is covered during the event. Manages all support agent’s inquiry about the product. ICD9, CPT and HCPCS Coding and/or review. Posting payments from EOB's (Explanation of benefits) Following up with Insurances to make sure all submitted claims were received and processed, and to work on all denials and rejections to avoid payment delays. To check claim status from insurance, websites, automatic response unit. Calling Insurances and Checking Web Portals to check patient's eligibility to make sure that the patient is eligible for the Date of service. Accounts receivable analysis with corrective and preventive actions and decision making for Collections. Patient billing inquiries as per received information from provider office. Daily, Weekly, Monthly and Annual AR Financial reports preparation. Credentialing with Government payers, commercials and EFT setup as well. The entire team report will be forwarded to our Project Manager by the end of the day. Making sure that the process is followed accordingly. Next BPO Solutions (Sleep Circle now Lincare) Title: Customer Service Representative / Patients Accounts Management Address: Reyna Bldg., Quimpo Blvd., Ecoland, Davao City February 2016 – June 2016 ▪ ▪ ▪ ▪ ▪ Answering patient’s calls regarding their DME supply billings. Giving appropriate and exact reasons about the bill. Receiving patient payment Making sure that the process is followed accordingly. Reporting to our managers about the payments that we received. Waiting Room Solutions (WRS HEALTH) (HOME BASED) Title: Billing Representative Address: 2004 Route 17M Goshen, NY 10924 June 2016 – August 2018 (Psychiatry Specialty) Clinic Anywhere LLC (HOME BASED) Title: Billing Representative Address: 1 Chase Corporate Dr #400, Birmingham, AL 35244, USA August 2018 – December 2018 (Gynecology & Podiatry Specialty) I have worked in different fields of Medical billing & coding. ✓ Claims submission ✓ Eligibility and Benefits ✓ Obtaining Authorization ✓ AR follow up ✓ Submitting Medical Records and Appeals ✓ Payment Posting ✓ Handling secondary claims ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Checking all codes are clean before submitting the claim to avoid denials and rejections. ICD9, CPT and HCPCS Coding and/or review. To research the right DX and CPT code according to medical records. Submitting clean claims using UB04 or CMS1500 form. Posting payments from EOB's (Explanation of benefits) Following up with Insurances to make sure all submitted claims were received and processed, and to work on all denials and rejections to avoid payment delays. To check claim status from insurance, websites, automatic response unit. Calling Insurances and Checking Web Portals to check patient's eligibility to make sure that the patient is eligibile for the Date of service. Accounts receivable analysis with corrective and preventive actions and decision making for Collections. Patient billing inquiries as per received information from provider office. Daily, Weekly, Monthly and Annual AR Financial reports preparation. Credentialing with Government payers, commercials and EFT setup as well