# Julian User

Julian User is a remote worker on Himalayas, Medical Biller – Insurance AR Focus at Pharmbills, based in Colombia.

Source: https://himalayas.app/@julianuser8

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

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | Colombia |
| Authorized to work in | Colombia |
| Salary expectations | 30k+ USD |
| Job categories | Medical Biller, RCM Specialist, Healthcare Virtual Assistant |
| Skills | Insurance Accounts Receivable, Revenue Cycle Management, Medical Billing, Denial Management, Insurance Claim Submission, Payer Follow Up, Appeals, Underpayment Recovery, Payment Posting, Charge Capture, Aging Analysis, Payer Relations, Revenue Cycle Optimization, HIPAA compliance, Data Entry |

## About

```text
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

### Medical Biller – Insurance AR Focus (current)

[Pharmbills](https://himalayas.app/companies/pharmbills). Oct 2025 - Present

```text
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.
```

Skills: 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

```text
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.
```

Skills: 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

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

Skills: Zendesk, Technical-Support, Billing-Support, Documentation, Escalation-Management

### Customer Support Consultant (SME)

Lumin Skin. Mar 2022 - Sep 2022

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

Skills: Customer-Retention, Churn-Analysis, SOP-Development, Documentation, Account-Reconciliation, Data-Accuracy

### Customer Support Advocate

Qured UK. Aug 2021 - Feb 2022

```text
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.
```

Skills: Shopify, Stripe, Kustomer, Healthcare-Support, Billing-Support, Privacy-Compliance

### Customer Support Associate

FedEx USA. Jul 2020 - Jul 2021

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

Skills: Shipping, Billing, Escalation-Management, Case-Documentation, Customer-Support

## Education

### Universidad del Valle

Bachelor of Science, Systems and Software Engineering

```text
Pursuing a Bachelor of Science in Systems and Software Engineering.
```

### Health Prime

Certification, Medical Billing & Coding

```text
Completed internal Medical Billing & Coding (RCM) certification in August 2024.
```

### Internal Trainings

Professional Development, Customer Support

```text
Completed Customer Support Professional Development training in April 2022.
```

### Santa Isabel de Hungría College

Technician, Informatics

```text
Completed an Informatics Technician program in January 2017.
```

### Universidad del Valle

Bachelor of Science, Economics

```text
Bachelor of Science in Economics, currently paused.
```

## Tech stack

- MongoDB
- Shopify
- Node.js
- Slack
- Zendesk
- React
- JavaScript
- Stripe
- Aircall
- Google Workspace
- Hubstaff
- Docker
- Kustomer
- Availity

To contact Julian, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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