Open to opportunities

Harvie June Misa

@harviejunemisa

Highly experienced Medical Billing Specialist focused on accurate claims, efficient AR, and exceptional patient support.

Philippines

Message

What I'm looking for

I’m looking to take ownership of end-to-end medical billing and claims, reconcile accounts receivable accurately, and support patients with fast, compliant communication using my EHR and insurance-processing expertise.

I’m a highly experienced Medical Billing Specialist with 9 years of expertise in administrative support and customer service within healthcare settings. I’m known for ensuring accurate billing processing, efficient accounting operations, and outstanding support that enhances the overall patient experience.

In my roles, I handle the full cycle of medical billing and claims workflows—patient insurance verification, medical claims submission, and checking claims status. I also reconcile insurance payments, manage accounts receivable end-to-end, and process pre-authorization while keeping patient data and medical records accurate in the EHR.

I strengthen accuracy and trust by applying payments correctly and resolving billing questions with confidence. I process co-pays, deductibles, and other patient responsibilities, review ledgers for adjustments, generate statements, and respond to patients about their accounts to resolve concerns quickly.

I work efficiently in high-volume environments and stay compliant through HIPAA-focused billing practices. I’m comfortable supporting additional administrative and clinical workflows like appointment and procedure scheduling, and I’ve provided customer service and appeals & grievance support by researching claims, processing plan changes, and coordinating referrals and prior-determination requirements.

Experience

Work history, roles, and key accomplishments

Medical Virtual Administrative Assistant

Crux Chiropractic

Feb 2023 - Sep 2024 (1 year 7 months)

Verified patient insurance, submitted and checked medical claims status, and reconciled insurance payments. Managed account receivables, processed pre-authorizations, maintained accurate patient data and medical records in EHRs, and resolved billing questions for patients.

Insurance Verification Medical Claims Accounts Receivable Payment Reconciliation

Medical Virtual Assistant

CE Outsourcing

Jun 2022 - Nov 2022 (5 months)

Supported administrative and clinical workflows for a urology clinic, including appointment and procedure scheduling and handling patient phone inquiries. Updated medical records and managed insurance verification, prior authorizations, referrals, and patient data entry while prioritizing a heavy workload.

Appointment Scheduling Scheduling Medical Records Management Insurance Verification Prior Authorizations Referrals Data Entry Excel Adobe Acrobat

Accounts Receivable Specialist

Omega Healthcare Services

Nov 2021 - Mar 2022 (4 months)

Verified billing discrepancies, resolved billing questions, and managed patient ledgers for past-due accounts to support payment collection. Processed rebills and post-adjustments, maintained HIPAA-compliant documentation, and reconciled accounts receivable periodically using the Raintree EMR.

Accounts Receivable Medical Billing HIPAA compliance Payment Posting Account Adjustments

Claims Appeals & Customer Service

UnitedHealth Group | Optum Global Solutions

Sep 2015 - Jun 2021 (5 years 9 months)

Resolved member and provider inquiries related to bills, benefits, claims, eligibility, and payment/discrepancy issues. Conducted claim research and review for adjustments, processed enrollment/plan changes, supported referrals and prior authorizations, coordinated prescription refills, and handled appeals and grievances according to contractual and regulatory requirements.

Customer Service Claims Processing Eligibility Enrollment Plan Changes Prior Authorizations Referrals Appeals & Grievances Prescription Refills

Education

Degrees, certifications, and relevant coursework

University of the Visayas

Bachelor of Science in Nursing, Nursing

2006 - 2009

Activities and societies: Completed a 3-year EMR Management component using eClinicalWorks and Athenahealth.

Earned a Bachelor of Science in Nursing from the University of the Visayas. Completed coursework including patient chart preparation, ordering prescriptions, and EMR management using eClinicalWorks and Athenahealth.