John Alvin Boreres
@johnalvinboreres
Experienced Medical Billing & A/R Specialist with extensive revenue cycle knowledge.
What I'm looking for
I am a dedicated Revenue Cycle Specialist with over 8 years of experience in medical billing and accounts receivable. My expertise encompasses a wide range of areas including HIPAA compliance, medical coding, insurance verification, and denial management. I have a proven track record of effectively managing billing processes and ensuring accurate claim submissions to various insurance providers.
In my current role at Rhythm Management Group, I excel in translating medical services into appropriate HCPCS/CPT and ICD codes, while also handling prior authorizations and appeals for denied claims. My commitment to providing excellent customer service has allowed me to build strong relationships with patients and insurance companies alike, ensuring a smooth revenue cycle process.
Experience
Work history, roles, and key accomplishments
Medical Billing & A/R Specialist
Rhythm Management Group PLLC
Jul 2021 - Jan 2025 (3 years 6 months)
As a Medical Billing & A/R Specialist, I manage patient insurance verification, medical coding, and billing claims to various insurances. I handle denials and rejections, ensuring timely follow-ups and appeals when necessary.
Customer Care Collection Associate
NTT Data Services
Jun 2016 - Jun 2021 (5 years)
In my role as a Customer Care Collection Associate, I focused on obtaining authorizations for services, billing medical claims, and managing hospital claims. I also worked on denial management and appeals.
Education
Degrees, certifications, and relevant coursework
Computer Site Institute Inc.
NC IV, Programming
2010 -
Victorious Christian Montessori
Diploma, High School
2007 -
Liceo De San Pedro
Diploma, Primary Education
2003 -
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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