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jhonathan agapitoJA
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jhonathan agapito

@jhonathanagapito

Medical claims specialist with five years’ experience in claims processing and denials management.

Philippines
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What I'm looking for

I seek a role in claims or billing where I can reduce denials, improve revenue cycle outcomes, work with EPIC or similar systems, and join a collaborative, compliance-focused team.

I am a dedicated medical claims specialist with five years of hands-on experience processing, investigating, and resolving healthcare claims to ensure timely payment and regulatory compliance. I have worked in hospital billing and professional billing environments, where I managed claim verification, coding, appeals, and follow-up with providers and payers.

My technical strengths include proficiency with EPIC and professional billing systems, experience with ICD-9/ICD-10, CPT, and HCPCS coding, and a consistent track record of reducing denials through careful adjudication and appeal writing. I am detail-oriented, strong in communication, and adept at collaborating with clinical teams and insurers to correct and resubmit claims.

I hold a Bachelor of Science in Management Information Systems and additional certification coursework; I am committed to continuous learning, maintaining compliance with healthcare regulations, and delivering accurate, efficient claims processing that improves revenue cycle performance.

Experience

Work history, roles, and key accomplishments

KR

Medical Claims Specialist

KMC Mag Solutions / Health Rise

Oct 2023 - Nov 2024 (1 year 1 month)

Reviewed and processed medical claims, tracked outstanding claims and followed up with payers, and analyzed denials to implement corrective actions and ensure regulatory compliance.

UH

Medical Claims Specialist / QA Specialist

UPenn Hospital

Jan 2015 - Dec 2023 (8 years 11 months)

Analyzed denials and corrected billing to appropriate payors, prepared appeals and reconsideration letters, and validated coding accuracy to improve payment rates and compliance.

Education

Degrees, certifications, and relevant coursework

MI

Meralco Foundation Institute

Certificate, Networking / IT

2006 - 2006

Completed a short technical course related to networking (Cisco) focused on practical skills for IT support.

Centro Escolar University logoCU

Centro Escolar University

Bachelor of Science, Management Information System

2001 - 2005

Completed a Bachelor of Science in Management Information System focusing on information systems relevant to healthcare billing and claims processing.

Tech stack

Software and tools used professionally

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