Ryan Portogalera

Experienced Revenue Cycle Management professional managing a team of HIPAA-trained medical billers in the Philippines. Providing comprehensive billing services to offshore clients, including A/R follow-up, claims submission, cash posting, and denial management.

Some responsibilities include:

• Reviewing denials on an explanation of benefits (EOB) statement and working on issues until resolved.

• Log onto an insurance website/portal (if available) to investigate insurance denials and rejections.

• Analyzing Accounts Receivable reports to follow up on unpaid claims

• Sending out appeals on claims that require an appeal

• Submitting any required documentation to insurance companies as requested

• Researching the claims for information to process bills in a timely manner

• Communicating with insurance companies, adjustors, and patients on a regular basis

• Correcting any errors and resubmitting all unprocessed or returned claims to insurance companies

• Investigating insurance denials and rejections

• Performing other related duties as assigned

• Executing appropriate collection activities in accordance with practice guidelines

Experience:

• Medical billing experience is extensive

• Knowledgeable in navigating a variety of EHR/EMR systems, including DrChrono, Office Ally, Prompt, Tebra, Athena, Availty, eClinalWorks and Simple Practice.