Ezra Jane Palor - Denial Management Specialist - KMC Solution | Himalayas
Ezra Jane PalorEP
Open to opportunities

Ezra Jane Palor

@ezrajanepalor

Dedicated medical contact biller with expertise in claims management.

Philippines

What I'm looking for

I am looking for a stable company where I can contribute to corporate goals while enhancing my personal growth.

I am a committed Medical Contact Biller with extensive experience in claims accounts receivable and denial management. Currently, I work at KMC Solution as a Denial Management Specialist, where I focus on hospital and facility billing. My previous role at Med-Metrix allowed me to hone my skills in managing claims effectively, ensuring timely payments and addressing any discrepancies.

My educational background includes a focus on psychology and medical billing, which has equipped me with a unique perspective on patient care and administrative processes. I am passionate about contributing to corporate goals while also seeking opportunities for personal growth and professional development.

Experience

Work history, roles, and key accomplishments

KS
Current

Denial Management Specialist

KMC Solution

Apr 2023 - Present (2 years 2 months)

Managed denial appeals and resolutions for hospital and facility billing. Ensured accurate processing of claims to maximize revenue recovery.

ME

Claims Accounts Receivable

Med-Metrix

Dec 2022 - Apr 2023 (4 months)

Handled accounts receivable for provider billing, ensuring timely collection of outstanding claims. Reconciled accounts and resolved billing discrepancies.

GI

Medical Biller

GeBBs Healthcare Solutions Inc.

Jan 2020 - Feb 2021 (1 year 1 month)

Served as a Medical Biller and Healthcare Representative, handling various billing and patient communication tasks. Managed eligibility, benefits, and prior authorizations for clinics.

MP

Medical Biller

Miramed Philippines

Mar 2021 - Present (4 years 3 months)

Performed medical billing duties and managed claims accounts receivable. Ensured accurate submission and follow-up on medical claims.

TP

Claims Accounts Receivable

TSi Philippines

Mar 2022 - Present (3 years 3 months)

Managed claims accounts receivable specifically for hospital billing. Focused on recovering outstanding payments and resolving billing issues.

CO

Healthcare Representative

Conduent

Oct 2018 - Aug 2019 (10 months)

Acted as a Healthcare Representative, primarily focusing on insurance inquiries, particularly for BCBS. Assisted clients with policy details and claim processes.

Education

Degrees, certifications, and relevant coursework

JC

Jesus Reigns Christian College

Bachelor in Arts and Science, Psychology

Completed two years of college education towards a Bachelor in Arts and Science degree with a major in Psychology. Focused on foundational coursework in psychology and general arts and sciences.

ES

ERDA Technical and Vocational Secondary School

Secondary School Diploma, General Studies

Attended ERDA Technical and Vocational Secondary School, completing the secondary education curriculum. Gained foundational knowledge and skills during this period.

Tech stack

Software and tools used professionally

Availability

Open to opportunities

Location

Philippines

Authorized to work in

Job categories

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