Open to opportunities

Clarisse Piamonte

@clarissepiamonte

Medical Billing Specialist with 6+ years in U.S. RCM, denial resolution, and AR follow-up for compliant provider accounts.

Philippines

Message

What I'm looking for

I’m looking for a role where I can own end-to-end U.S. medical billing, resolve denials, and drive clean AR. I work best with organized teams, clear SOPs, and a solutions-first mindset focused on compliance and accuracy.

I’m a detail-oriented Medical Billing Specialist and Healthcare Virtual Assistant with 6+ years of hands-on experience in U.S.-based healthcare operations. I work end-to-end across eligibility verification, claim submission, denial resolution, and AR follow-up, helping keep provider accounts clean and compliant.

At Coronis Health (Healthcare BPO), I managed end-to-end medical billing workflows for multiple U.S. provider accounts, from insurance eligibility and benefits verification through claim correction and resubmission. I investigated denied or rejected claims, drafted appeal letters, and communicated directly with payers to resolve outstanding balances. I also ran high-volume submissions through SSI and Change Healthcare (Relay Assurance) and performed AR follow-ups using aging reports to meet collection targets.

I’m also known for staying organized under high claim volumes while catching errors before they become denials. I onboarded and trained new billing staff, built SOPs and job aids to support team consistency, and previously handled provider and insurance inquiries as a Healthcare Customer Service Representative.

Experience

Work history, roles, and key accomplishments

Medical Billing Specialist

Coronis Health

Jan 2021 - Feb 2026 (5 years 1 month)

Managed end-to-end medical billing workflows for multiple U.S. provider accounts, including claim preparation, submission, and follow-up across payer systems. Reduced denials through eligibility/benefits verification, resolved denied/rejected claims via investigation, corrections, appeals, and payer communication, and supported collections through AR aging follow-ups and escalating accounts as needed.

Medical Billing AR follow up and aging Eligibility and benefits verification Appeals and payer communications Authorization and claim status inquiries SSI and Change Healthcare Relay Assurance Staff training and SOP creation Denial Management

Healthcare Customer Service Rep

Carelon Global Solutions

Jan 2021 - May 2021 (4 months)

Handled inbound provider calls for eligibility, benefits, and claims inquiries for U.S. healthcare insurance accounts. Conducted outbound calls to insurance companies to retrieve patient medical records supporting HEDIS quality measure reporting.

Healthcare Customer Service Inbound Call Handling Benefits inquiry support Claims status support Inbound call handling Outbound records retrieval HEDIS support Provider communication Eligibility Verification

Healthcare Customer Service Rep

Alorica Teleservices

Apr 2019 - Dec 2020 (1 year 8 months)

Supported inbound healthcare insurance inquiries, assisting providers with eligibility verification, benefits explanations, and claims status. Worked with provider-facing call workflows to resolve questions and guide next steps for assigned accounts.

Healthcare Customer Service Inbound Call Handling Benefits explanation Claims status support Provider inquiry support Insurance account support Call workflow documentation Eligibility Verification