Hire the Best Medical Condition Coding Specialists
in the Philippines

Hello! I am a Medical Biller and Coding Specialist who can manage the important administrative work of coding and billing to ensure healthcare providers are reimbursed for their services. You can expect me to properly code services, use valid Current Procedural Terminology and appropriate ICD-10 code. Following up with patients and/or insurance companies regarding outstanding charges. Review the reason/s behind any denied or rejected claims prior to correcting and resubmitting. Capable of creating and submitting good cause argument letter and/or formal letter of appeal for incorrectly denied claims. Track and post insurance payments. Excellent ability to communicate effectively and professionally. Proficient level of computer literacy. With Six years of experience as Customer Service Representative for one of the biggest Medical Insurance, I am knowledgeable with insurance guidelines and strictly follows HIPAA regulations. Two years of experience as an Account Receivable (AR) Specialist and a Subject Matter Expert (SME) for major payers Medicare and Medicaid Health Plans. Benefits/Services I previously worked: • All Medical Benefits (including Preventive Services) • Behavioral and Mental Health • Substance Abuse Few Major Insurances and their States I previously worked: • Medicare Health Plan (MI, IL, OH, TX, GA, CA, AZ) • Medicaid Health Plan (MI, IL, OH, TX, GA, CA, AZ) • Humana, Aetna, Anthem Inc., Illinicare, Cigna Health, Meridian/Wellcare, Molina Healthcare Inc., UnitedHealth Care Has Experience working with software • CallCare Browser • Phicure • Citrix/Trizetto *Familiar with all areas of CMS 1500 form and its guidelines. *Adaptive and can easily learn to navigate in working with a new software Can manage multiple assigned task by determining its level of urgency. Will make sure target levels are meet timely. I am willing to be trained and looking forward to working with you.

"𝙃𝙖𝙯𝙚𝙡 𝙬𝙤𝙧𝙠𝙚𝙙 𝙦𝙪𝙞𝙘𝙠𝙡𝙮, 𝙖𝙘𝙘𝙪𝙧𝙖𝙩𝙚𝙡𝙮, 𝙖𝙣𝙙 𝙬𝙞𝙩𝙝 𝙥𝙧𝙤𝙢𝙥𝙩 𝙛𝙚𝙚𝙙𝙗𝙖𝙘𝙠 𝙖𝙣𝙙 𝙘𝙤𝙢𝙢𝙪𝙣𝙞𝙘𝙖𝙩𝙞𝙤𝙣. 𝙄 𝙬𝙤𝙪𝙡𝙙 𝙝𝙞𝙜𝙝𝙡𝙮 𝙧𝙚𝙘𝙤𝙢𝙢𝙚𝙣𝙙 𝙩𝙝𝙚𝙢 𝙛𝙤𝙧 𝙖𝙣𝙮 𝙛𝙪𝙩𝙪𝙧𝙚 𝙟𝙤𝙗 𝙧𝙚𝙜𝙖𝙧𝙙𝙞𝙣𝙜 𝙢𝙚𝙙𝙞𝙘𝙖𝙡 𝙘𝙤𝙙𝙞𝙣𝙜." "𝙃𝙖𝙯𝙚𝙡 𝙙𝙞𝙙 𝙖 𝙜𝙧𝙚𝙖𝙩 𝙟𝙤𝙗! 𝙃𝙚𝙧 𝙚𝙭𝙥𝙚𝙧𝙞𝙚𝙣𝙘𝙚 𝙧𝙚𝙖𝙡𝙡𝙮 𝙨𝙝𝙤𝙬𝙚𝙙 𝙖𝙣𝙙 𝙬𝙖𝙨 𝙖 𝙗𝙞𝙜 𝙝𝙚𝙡𝙥 𝙩𝙝𝙧𝙤𝙪𝙜𝙝𝙤𝙪𝙩 𝙩𝙝𝙚 𝙥𝙧𝙤𝙟𝙚𝙘𝙩. 𝙃𝙞𝙜𝙝𝙡𝙮 𝙧𝙚𝙘𝙤𝙢𝙢𝙚𝙣𝙙𝙚𝙙." I help healthcare providers and billing companies eliminate coding errors and improve reimbursement accuracy. Hi! I’m Hazel, a certified medical coder with 10 years of hands-on experience in outpatient medical coding, including E/M, ED, and Same Day Surgery. I’m known for delivering clean, accurate coding, meeting tight deadlines, and making the process easy for my clients through clear communication and dependable results. 𝗪𝗵𝘆 𝗪𝗼𝗿𝗸 𝗪𝗶𝘁𝗵 𝗠𝗲 • Top-rated Medical Coder in Upwork with proven Upwork experience • Accurate, high-quality work • Reliable turnaround • Clear, responsive communication 𝗥𝗲𝗴𝗶𝘀𝘁𝗲𝗿𝗲𝗱 𝗡𝘂𝗿𝘀𝗲 + 𝗖𝗲𝗿𝘁𝗶𝗳𝗶𝗲𝗱 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗖𝗼𝗱𝗲𝗿 (𝗖𝗣𝗖, 𝗖𝗖𝗦) • Strong clinical + coding expertise • E/M, Same Day Surgery, ED (profee & facility), Radiology • Accurate, compliant coding with fewer errors 𝗦𝗽𝗲𝗰𝗶𝗮𝗹𝘁𝗶𝗲𝘀 𝗪𝗼𝗿𝗸𝗲𝗱 𝗪𝗶𝘁𝗵 • Podiatry • Family Medicine • Internal Medicine • OB-GYNE • Cardiology & Cardiothoracic • ENT • Spine & Orthopedics • Pain Management • Radiology • Nutrition • Acupuncture • Surgery (multispecialty) 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 • Charge entry/posting (CPT, ICD-10, HCPCS, modifiers) • Check coding accuracy • Claims submission (MCR, OON, Workers’ Comp & No-Fault claims) • NCCI, LCD, NCD knowledge 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗗𝗮𝘁𝗮 𝗔𝗻𝗻𝗼𝘁𝗮𝘁𝗶𝗼𝗻 • Worked with multiple AI platforms to verify coding accuracy • Performed coding audits and validation • Provided real-world clinical insight to improve AI outputs • ICD-10 tagging & clinical data labeling 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗧𝗿𝗮𝗻𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻 • Accurate clinical documentation from audio 𝗧𝗼𝗼𝗹𝘀 & 𝗦𝘆𝘀𝘁𝗲𝗺𝘀 • EMR/EHR: eCW, EPIC, Athena, Practice Fusion, DrChrono, Medgen, Nextgen • Coding Tools: Optum CAC, 3M, AAPC Codify, EPIC

I'm a Certified Professional Coder, Certified Medical Reimbursement Specialist, Certified Medical Coding Instructor, Certified Risk Adjustment Coder, Certified Inpatient Coder and Certified Professional Medical Auditor. I have more than 10 years of experience about the US RCM process. I have experience to Facility, Office, Home Health, HCC & Ambulance coding. I'm looking for jobs that will perfectly match my credentials. I'm fluent in English and I have a fast Internet connection.

Patient Services Specialist 10 years background in Outbound Sales in Telco Account English proficient Results-oriented professional Chronic Care Management Nurse Remote Patient Monitor Nurse Managed Care Nurse Answer all incoming calls from the patients. Making all/any outgoing calls to the patients Manage the physicians/doctor’s appointment calendar Manage and organize Electronic Medical Records (EMR) Record, review, and take steps to follow up on and resolve patient complaints Analyze complaints to enhance the overall quality of care Create and maintain record-keeping files and systems for both the physicians and the patients Assure confidentiality of paperwork, documents, and calls Handle calls from providers and plan members regarding balance inquiries and generate appropriate resolutions if necessary and required Maintain timely communication with patients Represent the Client in an approachable, pleasant, and professional manner

💼US Registered Nurse w/ Masters of Science in Nursing Major in Adult Health 💼Certified Medical Virtual Assistant for 7 years w/ HIPAA Certificate 💼 Medical Biller ( AR / Payment Posting / Appeals) 💼Experienced Medical Records Reviewer 💼Prior Authorization Specialist 💼Seasoned Customer Support Representative 💼Insurance Verification expert 💼Proficient Medical Scriber 💼Veteran Appointment Setter 💯Applications that I'm proficient at: ⚡️EMR (Elation, Practice suite, Epic, Charm, PCC, ECW, Boulevard, NFMD, MDware) ⚡️Spruce, doximity, dialpad ⚡️Adobe ⚡️Microsoft Office 💎What you can expect from me: ⚡️Excellent English Communication Skills ⚡️Excellent Interpersonal Skills ⚡️Customer Empathy ⚡️Good critical thinking and decision making ⚡️Stress management ⚡️Positivity ⚡️Effective problem-solving skills ⚡️Time management

Seeking a position of Medical Administrative related work in a fast-paced and challenging environment; with 3 years of experience, solid analytical thinking, problem solving and great attention to detail. -I'm experienced with EHR/EMR such as Allscripts and Welsoft -Analyzes the right ICD10 codes for diagnoses -Expert in processing of Billing statements -Good in communicating with international healthcare insurances.