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Julian User

@julianuser8

Medical Biller at PHARMBILLS managing insurance claims, denial resolution, and payment posting for healthcare providers.

Colombia

Message

At PHARMBILLS, I create and manage HMO and commercial insurance claims for nursing clinics and long-term care facilities. I follow up on unpaid, underpaid, and denied claims, post payments and adjustments, and submit corrections or appeals when appropriate.

At HEALTH PRIME, I managed full-cycle Insurance AR workflows and analyzed payer denials and underpayments. I also generated aging and denial reports, supported junior staff as an SME, and maintained HIPAA compliance.

Experience

Work history, roles, and key accomplishments

Current

Medical Biller – Insurance AR Focus

Current

Pharmbills

Oct 2025 - Present (11 months)

Create, submit, and manage high-volume HMO and commercial insurance claims for nursing clinics and long-term care facilities. Perform detailed payer follow-up on unpaid, underpaid, and denied claims across all aging buckets.

Insurance A R Denial Management Payment Posting Charge Capture Claim Submission Payer Follow Up HIPAA Epic Systems Availity Payer Portals

RCM Specialist | SME – Insurance Accounts Receivable

Health Prime

Jun 2024 - Oct 2025 (1 year 4 months)

Managed full-cycle Insurance AR workflows including claim creation, submission, follow-up, payment posting, and denial resolution. Conducted root cause analysis on payer denials and underpayments, improving first-pass resolution rates.

Insurance A R Denial Management Payment Posting Claim Creation Claim Submission Payer Follow Up Aging Analysis Root Cause Analysis HIPAA Epic Systems Availity Payer Portals Reporting

Technical Support Representative

Holafly

Oct 2022 - May 2023 (7 months)

Resolved complex technical and billing inquiries using Zendesk while maintaining detailed documentation. Escalated software bugs and workflow gaps to development teams, improving internal processes.

Zendesk Technical Support Billing Support Documentation Escalation Management

Customer Support Consultant (SME)

Lumin Skin

Mar 2022 - Sep 2022 (6 months)

Identified churn patterns and implemented retention strategies, reducing cancellations by 15%. Authored SOPs and internal documentation to improve onboarding efficiency.

Customer Retention Churn Analysis SOP Development Documentation Account Reconciliation Data Accuracy

Customer Support Advocate

Qured UK

Aug 2021 - Feb 2022 (6 months)

Provided healthcare-related customer support for medical devices and testing services. Resolved billing and technical discrepancies using Shopify, Stripe, and Kustomer while maintaining privacy standards.

Shopify Stripe Kustomer Healthcare Support Billing Support Privacy Compliance

Customer Support Associate

FedEx USA

Jul 2020 - Jul 2021 (1 year)

Resolved complex shipping and billing discrepancies, improving resolution times by 25%. Managed escalation workflows and maintained detailed case documentation.

Shipping Billing Escalation Management Case Documentation Customer Support