Vanezza Grace Capul

I am a dedicated Medical Billing and Insurance Specialist with nearly five years of hands-on experience supporting healthcare operations through accurate, efficient, and compliant revenue cycle management. Throughout my career, I have developed a strong foundation in handling patient information, insurance verification, claims processing, and payment tracking, ensuring that every detail is complete, organized, and aligned with industry standards.

My expertise begins with maintaining accurate and complete patient records. I carefully review documentation, request any missing information, and ensure all data is properly recorded before proceeding with billing processes. I am experienced in reviewing referrals and authorizations, as well as confirming patient benefits across Medicare, HMO, and PPO plans. This allows me to minimize claim denials and ensure a smoother billing cycle.

I am highly skilled in entering billing charges, assigning ICD-10 codes, and using systems such as Criterions, EzyVet for scheduling and billing. I regularly check billing logs for discrepancies, ensuring all entries are correct and up to date. I take pride in maintaining organized records and following established billing procedures to ensure compliance and accuracy at all times.

A key strength of mine is managing the full lifecycle of insurance claims. I track claims from submission to payment, monitor for delays, and follow up on denied or unpaid claims. I confidently communicate with insurance companies to resolve issues, submit appeals with proper documentation, and ensure timely reimbursement. In addition, I handle patient billing inquiries with professionalism and clarity, helping resolve concerns while maintaining a high level of customer service.

I also specialize in financial tracking and accountability. I develop and maintain systems to monitor incoming payments, identify late accounts, and initiate follow-ups when needed. I work closely with patients to arrange payment plans and ensure balances are settled in a manageable and timely manner.

Above all, I am committed to maintaining strict patient confidentiality and adhering to all healthcare regulations. My goal is always to support both the financial health of the organization and the positive experience of every patient.