AO
Open to opportunities

Aloha Oquinena

@alohaoquinena

Committed medical biller with expertise in claims processing and coding.

Philippines
Message

What I'm looking for

I am looking for a role that allows me to utilize my billing expertise while fostering a collaborative and growth-oriented environment.

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

PL

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.

KC

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

CU

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.

KC

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

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Aloha Oquinena - Medical Billing Specialist - People’s Healthcare LLC | Himalayas