Hire the Best Healthcare Common Procedure Coding System Specialists
in the Philippines

Hi Good day, I am interested in applying for a position in your organization. As an E-Commerce Virtual Assistant and Registered Psychometrician, I bring experience in customer service, HR outsourcing, and eCommerce operations. I have a strong background in administrative support, client communication, and operational coordination. Over the past year, I’ve worked as a Customer Service Representative in the BPO industry, assisting Health Net California healthcare providers with enrollment, eligibility verification, and claims processing while ensuring HIPAA compliance and delivering efficient support. Earlier, I worked as an Alert Refunding Specialist, managing eCommerce refund operations on Shopify, handling customer inquiries.I also collaborated with teams on Slack for efficient communication and problem-solving. With my psychology background and experience in fast-paced environments, I’m excited to contribute my skills and grow within a dynamic team. I would welcome the opportunity to discuss how my experience and qualifications align with your company's needs. I look forward to hearing from you. Best, Jeah

An experienced Virtual Assistant (VA) and Medical Biller with a robust background in BPO operations spanning over 8 years. Throughout my career, I've held various roles including Call Center Senior Supervisor, Technical Support Specialist, Customer Service Representative, and Sales Representative. My diverse skill set and extensive experience have equipped me with the necessary tools to excel in any virtual assistance or medical billing role. In the realm of medical billing, I specialize in handling billing processes for Physical Therapy, Chiropractic, Occupational Therapy, and Acupuncture practices. I am proficient in claim submissions, payment posting, and resolving billing discrepancies. My deep understanding of medical terminology and billing practices allows me to navigate complex billing systems with ease. Why Choose Me: Extensive BPO Experience: With 8 years in the BPO industry, I bring a wealth of knowledge and expertise to every project. Versatility: I have successfully performed various roles in call center operations, demonstrating adaptability and versatility. Medical Billing Proficiency: My experience as a medical biller ensures that your billing processes are handled efficiently and accurately. Reliability: I am committed to delivering high-quality work within deadlines, ensuring client satisfaction every time. Let's Work Together: Whether you need reliable virtual assistance or expert medical billing services, I'm here to help. Let's collaborate to streamline your administrative tasks and optimize your billing processes. Feel free to reach out to discuss how I can support your business!

Senior Healthcare Billing & Coding Specialist | RCM | Utilization Review | Credentialing| CAQH I help busy healthcare clinics stabilize their revenue cycle and eliminate billing, authorization, and credentialing bottlenecks. My expertise includes medical billing, utilization review, payer enrollment, and denial management across mental health, medical, and dental practices. I am a Senior Healthcare Virtual Associate and Revenue Cycle Management (RCM) Specialist with 11+ years of experience supporting US and Australian mental health, substance abuse, medical, and dental practices. I specialize in utilization review, provider credentialing, and end-to-end revenue cycle management—from insurance verification and authorizations to claims submission, denial management, appeals, AR recovery, and enrollment. I’ve worked with psychiatrists, therapists, substance abuse treatment centers, primary care clinics, OB-GYNs, and dental practices, managing complex authorization workflows (Detox, RTC, PHP, IOP, TMS), payer medical-necessity reviews, and full-cycle billing operations while maintaining HIPAA-compliant accuracy. 💰 WHAT I DO BEST (HIGH-VALUE SERVICES) ✔ End-to-End Revenue Cycle Management (RCM) ✔ Medical Coding, CPT, ICD-10, or Coding & Billing ✔ Utilization Review (PHP, IOP, RTC, Detox, TMS) ✔ Medical Necessity Appeals & Peer-to-Peer Coordination ✔ Insurance Verification & Benefits Investigation ✔ Prior Authorizations & Referrals ✔ Claims Submission (Electronic & Paper) ✔ Denial Management & Appeals ✔ Accounts Receivable (AR) Follow-ups & Cleanup ✔ Payment Posting & Reconciliation ✔ Patient Billing & Collections ✔ Provider Credentialing & Recredentialing ✔ CAQH Management, PECOS & Insurance Enrollment ✔ Facility Credentialing ✔ HIPAA-Compliant Medical Records Management 🧠 WHY CLINICS HIRE ME • I understand US & AU insurance workflows • I reduce denials and speed up reimbursements • I manage complex authorization & utilization review pipelines • I prevent revenue loss from credentialing delays • I communicate directly with payers on your behalf • I work independently with minimal supervision • I specialize in long-term retainer support, not short-term tasks 🏥 SPECIALTY EXPERIENCE Mental Health & Substance Abuse Psychiatry, Therapy, Detox, RTC, PHP, IOP, TMS Medical Primary Care, OB-GYN, Vascular & Vein Clinics, Wound Care, Radiology Dental Eligibility & Benefits Verification, Treatment Authorizations, Claims Submission I’m a great fit for: • mental health and behavioral health clinics • substance abuse treatment centers (Detox, RTC, PHP, IOP) • private medical, dental and mental health practices • telehealth startups • credentialing and RCM companies I offer monthly retainer packages designed to: • Reduce denials • Accelerate reimbursements • Stabilize cash flow • Eliminate authorization backlogs • Prevent credentialing revenue gaps 📩 Send me a message and tell me what’s currently slowing down your billing, authorizations, or credentialing.

Expert in developing instructional manuals, processes, and research. Competent in ISO 9001, ISO Audit, and Risk Assessment. Develops our company's Laboratory Quality Management Manual, Hazard Communication Plan, Chemical Hygiene Plan, Preventive Maintenance Program, and Occupational Safety and Health Program. Good communicator, independent, creative, resourceful, fast learner, meticulous, and goal-oriented. Licensed Professional Teacher and a Licensed Chemical Technician. Former Pollution Control Officer and presently a Safety Officer 3 and a Laboratory Specialist.

I help healthcare providers get paid accurately and on time by managing claims, denials, and accounts receivable, while improving medical billing workflows and processes for efficient operations. With over 10 years of experience in Revenue Cycle Management, I have worked across Commercial plans, Medicare replacements, Federal plans, and Workers’ Compensation, supporting both professional and facility billing. This allows me to manage complex billing workflows from start to finish. My experience covers the full medical billing lifecycle — including eligibility verification, benefits analysis, claims submission, payment posting, denial management, and AR follow-ups — ensuring claims are submitted correctly and followed through until resolution. I have also assisted providers with credentialing and enrollment, helping maintain compliance with payer requirements and uninterrupted reimbursements. In addition to daily billing operations, I have experience managing billing-related projects and improving medical billing workflows and processes. This includes organizing AR follow-ups, improving denial workflows, standardizing posting and reconciliation processes, and training teams to follow consistent, efficient procedures that reduce errors and turnaround time. 🔹 Projects I Can Help With • I support both short-term and ongoing billing projects, including: • Accounts Receivable (AR) Cleanup & AR Reduction Projects • Payment Posting & Reconciliation Projects (ERAs/EOBs) • Payer Analysis & Denial Trend Reviews • Cash Flow Improvement Initiatives • Claim Backlog Resolution • Billing Workflow & Process Improvement Projects • Transition or Cleanup Projects for New Systems or Teams These projects are handled with a structured, organized approach, clear tracking, and regular updates. 🔹 Workflow Optimization & Automation Support While workflow improvement is primarily focused on medical billing operations, I also use automation tools such as Zapier and n8n where appropriate to support consistency and efficiency. Examples include: • Automated claim follow-up reminders and task routing • ERA/EOB posting alerts and reconciliation tracking • Denial tracking and status notifications • Eligibility and authorization monitoring • Billing and AR performance reporting Automation is always applied with a medical billing–first approach, aligned with payer rules and team workflows. 🎓 Professional Development I am currently enrolled in an Advanced Medical Billing Course at AMBCI and actively preparing to obtain my Medical Biller and Coder certification, ensuring alignment with current billing regulations and compliance standards. 📞 Call to Action If you need support with AR projects, payment posting, payer analysis, or improving cash flow, I’d be happy to discuss how I can help. A quick Upwork call is a great way to review your goals and confirm next steps.

I am dependable, medical coder, credentialing specialist and admin/ virtual assistant trained to work in a high-stress environment and with great ability to stay calm under pressure. My professional skills include the following: • Maintain 100% accuracy per claims using ICD-10 codes to patient’s medical records / electronic records • Medical Transcriptions with proven ability to maintain speed without compromising quality and accuracy (60+ WPM with 100% accuracy) • Can provide excellent service on data management; academic / web research; google drive; general admin work and data entry; document design; PowerPoint; excel management; resume writing; google forms; google docs etc. •Performs other task that may be assigned from time to time •Check eligibility and benefits verification of patient’s treatment and hospitalization. •Review claims using Billing Software •Prepare bills and invoices for medical services If you need a reliable freelancer, I ‘d love to chat and be part of your team!