Aloha Oquinena
@alohaoquinena
Committed medical biller with expertise in claims processing and coding.
What I'm looking for
I am a dedicated medical billing specialist with over three years of experience in the healthcare industry. My expertise lies in handling billing disputes, processing claims, and ensuring accurate payments. I have a strong background in insurance verification, filing claims, and coding with ICD-10, CPT, and HCPCS. My commitment to enhancing revenue cycle efficiency and adhering to HIPAA standards has allowed me to thrive in fast-paced healthcare environments.
Throughout my career, I have successfully prepared and submitted medical claims to various insurance companies, including Medicare and Medicaid. I am adept at confirming patient insurance eligibility and benefits, as well as analyzing and resolving claim rejections. My ability to communicate effectively with insurance representatives and collaborate with billing and coding teams has led to improved processes and increased cash collections for my employers.
With a Bachelor of Science in Nursing, I bring a unique perspective to the medical billing field, understanding the intricacies of patient care and the importance of accurate billing. I am passionate about staying up-to-date with changes in billing guidelines and continuously improving my skills to contribute positively to the healthcare industry.
Experience
Work history, roles, and key accomplishments
Medical Billing Specialist
People’s Healthcare LLC
Nov 2021 - Dec 2024 (3 years 1 month)
As a Medical Billing Specialist, I prepared and submitted medical claims to various insurance companies, confirmed patient insurance eligibility, and assisted in increasing cash collections while reducing Accounts Receivables aging. I analyzed claim rejections and collaborated with billing teams to optimize processes while ensuring compliance with HIPAA regulations.
Medical Virtual Assistant
Endocrinology Associates, PA
Sep 2019 - Nov 2021 (2 years 2 months)
In my role as a Medical Virtual Assistant, I managed patient appointments, maintained accurate records in our EMR system, and handled patient inquiries through various communication channels. I ensured efficient email management and provided support to enhance patient communication.
NICU Staff Nurse
King Saud University Medical City
Aug 2017 - Sep 2018 (1 year 1 month)
As a NICU Staff Nurse, I provided critical care to premature and critically ill newborns, administered medications, documented care, and educated parents on infant care. I also responded to neonatal emergencies and maintained NICU equipment.
Education
Degrees, certifications, and relevant coursework
Cebu Normal University
Bachelor of Science, Nursing
2011 - 2018
Bachelor of Science in Nursing. Provided critical care to premature or critically ill newborns, administered medications and treatments, documented care, educated parents on baby care, communicated with parents and healthcare professionals, and responded to neonatal emergencies.
King Saud University Medical City
Staff Nurse, Nursing
NICU Staff Nurse. Provided critical care to premature or critically ill newborns, monitored vital signs, administered medications, documented care, educated parents, and responded to emergencies.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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