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

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.

- Clinical Quality Auditor for 9 years with Optum - Prior Authorization Specialist with proven experience submitting to 40 different insurances, lien authorizations and worker's comp - Referral Coordinator - HealthCare Manager handling teams and with client facing skills - Registered Nurse with specialty in Occupational Health Nurse Tell me what you and your team needs and I'll be happy to assist! "With self-discipline most anything is possible"- Theodore Roosevelt

Looking to streamline your practice and provide top-notch patient support? I help healthcare practices run smoothly by delivering seamless, HIPAA-compliant services—without the stress. With 8+ years of experience in healthcare customer service, I specialize in: • Healthcare Support & Patient Communication • Provider Coordination • Billing & Insurance Management • Revenue Cycle Oversight • Appointment Scheduling • HIPAA Compliance • Medical Records Management • Insurance Claims Processing • Patient Intake & Registration • Telehealth & Virtual Patient Support • Quality Assurance & Compliance Monitoring I combine speed, accuracy, and empathy to ensure patients feel supported while your practice stays organized and compliant. Reliable, professional, and detail-oriented—I’m ready to keep your operations running smoothly. Let’s connect! Send me a message and get your practice running more efficiently today.

OBJECTIVE To obtain a challenging position that will enable me to utilize and advance my skills in a corporation that offers a proficient and professional working environment while contributing to the success of the corporation.

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!

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!