Jushierl Roa
@jushierlroa
Healthcare medical billing and revenue cycle specialist who reduces denials and maximizes reimbursements.
PhilippinesWhat I'm looking for
I’m a detail-oriented Healthcare Medical Billing and Revenue Cycle Management Specialist with 5+ years of experience in medical billing, claims processing, prior authorization, insurance verification, denial management, and healthcare customer support. I handle Medicare, Medicaid, and commercial insurance billing, CMS-1500 claim submission, AR follow-up, EOB/ERA review, and reimbursement processing while maintaining full HIPAA compliance.
In my roles, I processed high-volume claims using tools like ModMed EMA and Availity, managed denials, appeals, and reimbursement discrepancies, and validated CPT, ICD-10, and HCPCS coding for accurate payment outcomes. I’ve also improved operational workflows as an Offsite District Manager—streamlining billing coordination, supporting revenue performance reporting, and training staff on documentation and customer service standards.
Experience
Work history, roles, and key accomplishments
Medical Claims Analyst
Oakview Dermatology
Sep 2024 - Mar 2026 (1 year 6 months)
Processed high-volume Medicare, Medicaid, and commercial insurance claims using ModMed EMA and payer portals; handled CMS-1500 submission, denial management, prior authorizations, AR follow-up, and reimbursement processing. Reviewed ERAs/EOBs and validated CPT, ICD-10, and HCPCS coding while maintaining HIPAA compliance.
Offsite District Manager
Hello Sugar
Jan 2022 - Mar 2024 (2 years 2 months)
Managed administrative operations, billing coordination, and financial tracking across multiple locations to support efficient workflows. Improved operational processes, monitored revenue performance and compliance, and trained staff on workflow management, customer service, and documentation standards.
Healthcare Customer Service Specialist
Convergys
Aug 2015 - Sep 2019 (4 years 1 month)
Provided high-volume healthcare customer support for billing inquiries, account concerns, and payment-related issues in a fast-paced call center environment. Resolved customer issues with strong communication and multitasking while supporting daily operations.
Education
Degrees, certifications, and relevant coursework
TVET Program
Trainer's Methodology Certification, Trainer's Methodology
2010 - 2012
Completed a Trainer's Methodology Certification under the TVET program from 2010 to 2012.
DWNHS
High School Diploma, High School
2001 - 2005
Earned a High School Diploma from DWNHS from 2001 to 2005.
Tech stack
Software and tools used professionally
Availability
Location
PhilippinesAuthorized to work in
Job categories
Skills
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