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Mary Grace UserMU
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Mary Grace User

@marygraceuser1

Medical billing and insurance verification specialist at BEHAVIORAL HEALTH VALBUENA WELLNESS CENTER who verified patient coverage and benefits.

Philippines
Message

At BEHAVIORAL HEALTH VALBUENA WELLNESS CENTER, I verified patient insurance eligibility and benefits through U.S. payer portals and reviewed coverage, deductibles, copays, and coinsurance.

I assisted patients with billing, payment, and copay concerns, and followed up with insurance providers on prior authorization requests. I also maintained patient account and billing documentation in accordance with HIPAA requirements.

At HEALTH HARBOR, I handled insurance verification requests for U.S. healthcare provider clinics, including an Allergy & Immunology practice. I documented benefit details and communicated them to provider offices.

At TTEC, I verified U.S. dental insurance benefits and assisted with claims follow-up, denials, appeals, and pre-authorizations. I used tools including Open Dental, RightFax, NEA, Outlook, Teams, and Google Sheets.

Experience

Work history, roles, and key accomplishments

VC

Medical Biller / Insurance Verification Specialist

Valbuena Wellness Center

Apr 2025 - Apr 2026 (1 year)

Verified patient insurance eligibility and benefits using U.S. payer portals including BCBS, UHC, Cigna, Availity, UMR, Evernorth, and ProviderExpress. Assisted with prior authorization requests and maintained accurate patient account records in accordance with HIPAA requirements.

TT

Dental Insurance Verification Specialist

TTEC

Oct 2021 - Dec 2023 (2 years 2 months)

Performed U.S. dental insurance eligibility and benefits verification, including coverage, deductibles, copays, coinsurance, limitations, and plan details. Assisted with claims follow-up, reviewed denials, and maintained accurate insurance documentation.

Education

Degrees, certifications, and relevant coursework

PU

Philippines State University

Bachelor of Science, Information Technology

2012 - 2016

Bachelor of Science in Information Technology from Philippines State University from 2012 to 2016.

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