Edrian Gene
@edriangene
Dedicated healthcare professional with over 5 years of experience.
What I'm looking for
With over five years of experience in the US healthcare sector, I have honed my skills in claims processing, case management, and revenue cycle management. My journey began at Access Healthcare, where I excelled as a Claims Specialist, responsible for following up on insurance claims and managing denials. My dedication to accuracy and efficiency allowed me to streamline processes and improve client satisfaction.
As I progressed to a Senior Client Partner role, I took on more complex responsibilities, including denial management and authorization checks. My tenure at Neolytix LLC further expanded my expertise in medical billing and coding, where I managed charge entries and ensured compliance with coding guidelines. Currently, I am leveraging my skills at BASS Medical Group, focusing on accurate charge entries and patient account management.
Experience
Work history, roles, and key accomplishments
Medical Billing and Coding Associate
BASS Medical Group
Jun 2023 - Present (2 years 1 month)
Responsible for charge entry, checking medical records for accuracy, basic coding of visits, and handling claim edits for various specialties.
Senior Associate – Medical Biller
Neolytix LLC
Oct 2022 - Apr 2023 (6 months)
Handled charge entry for claims, managed denial appeals, processed patient payments, and maintained patient accounts and daily reports.
Senior Claims Specialist
Access Healthcare
Aug 2019 - Oct 2022 (3 years 2 months)
Managed claims follow up with insurance companies, handled payments, worked on denials and appeals, and posted EOBs and ERAs for payments and denials.
Claims Specialist
Access Healthcare
Sep 2018 - Aug 2019 (11 months)
Responsible for calling insurance companies for claims follow up, managing payments, working on denials including appeals, and sending requests for corrected claims and medical records.
Education
Degrees, certifications, and relevant coursework
Fisher Valley College of the Philippines
Bachelor of Science, Information Technology
2011 - 2015
Bagumbong High School
High School Diploma
2006 - 2010
Bagbaguin Elementary School
Elementary School Diploma
2000 - 2006
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Interested in hiring Edrian?
You can contact Edrian and 90k+ other talented remote workers on Himalayas.
Message EdrianFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
