Open to opportunities

Arselica Grace Dela Cruz

@arselicagracedelacru

Message

Medical Billing & RCM specialist improving claims, AR collections, and compliance.

Philippines

Message

What I'm looking for

I’m looking for remote or hybrid healthcare billing and AR roles with a focus on clean claims, denial resolution, and compliant RCM—where I can reduce outstanding balances and keep revenue moving confidently.

I’m a results-driven Medical Billing and Revenue Cycle Management Specialist with 7+ years of experience supporting U.S. healthcare organizations. I focus on accurate billing, aggressive AR follow-up, and compliant revenue cycle operations—turning complex billing details into actionable financial outcomes.

In my roles as a Medical Biller and Collection Specialist, I submitted clean claims, resolved denials through detailed analysis and payer follow-ups, and ensured timely reimbursements. I posted payments, adjusted accounts accurately, monitored aging reports, negotiated payment arrangements, and reduced outstanding AR while maintaining compliance with payer rules, HIPAA regulations, and federal guidelines.

I also handle end-to-end revenue cycle reporting and support day-to-day operations, including generating invoices, reconciling AR balances, and producing revenue cycle reports. Beyond billing, I support patient and provider needs through insurance verification, authorizations, HIPAA-compliant EHR documentation, and first-call resolution for inquiries related to claims, benefits, and payments.

Experience

Work history, roles, and key accomplishments

Medical Billing & AR Specialist

Alpine Psychiatry

Handled end-to-end medical billing tasks including claims submission, payer follow-ups, and denial analysis to protect reimbursement timelines. Managed AR aging, negotiated payment arrangements, and supported provider inquiries with first-call resolution.

Medical Billing Denial Management Collections Strategy Payment Posting Insurance Verification HIPAA compliance

Medical Billing & AR Specialist

New Reflections Counseling Inc.

Submitted clean medical claims and followed up with payers to resolve denials, ensuring timely reimbursements. Posted payments, adjusted accounts accurately, and maintained HIPAA-compliant revenue cycle operations.

Medical Billing Payment Posting HIPAA compliance

Medical Billing & AR Specialist

Idaho Concierge Medicine

Generated invoices, reconciled AR balances, and produced revenue cycle reports to support financial accuracy. Ensured compliant insurance eligibility and authorization workflows while maintaining HIPAA standards in EHR documentation.

Reconciliations Insurance Verification Authorization Claims Follow Up HIPAA compliance

Medical Billing & Collections Specialist

Optum Global Solutions

Managed medical billing and collections by submitting claims, resolving denials, and driving payer follow-ups to reduce outstanding AR. Posted payments and performed accurate account adjustments while complying with payer rules and federal guidelines.

Revenue Cycle Management (RCM)Medical Billing Claims Follow Up Payment Posting HIPAA compliance

Tier 1 AR Specialist

Convergys/Concentrix PH

Supported Tier 1 accounts receivable workflows for Anthem/BCBS by following up on claims and resolving issues to support reimbursement. Maintained compliance across AR processes and provided provider-facing support for claims, benefits, and payments.

Tier 1 Support AR Follow Up Accounts Receivable HIPAA compliance Provider Support A R Follow Up