Open to opportunities

Melford Remigio

@melfordremigio

Message

Experienced customer support and medical billing specialist focused on insurance authorization and QA.

Philippines

Message

What I'm looking for

I seek a patient-focused role in medical billing/authorization or QA where I can apply my claims, verification, and customer-support expertise to improve accuracy and patient access.

I am a dedicated customer support and medical billing specialist with extensive experience in insurance verification, prior authorization, claims processing, and technical customer service across healthcare and telecom accounts. I consistently act as a patient advocate and liaison between patients, providers, and payers to resolve complex inquiries and secure necessary authorizations.

My background includes Tier 2 technical support, Ethernet provisioning, QuickBooks accountant support, and specialized roles in specialty drugs and member medical insurance. I have a proven track record handling escalations, documentation and QA for virtual medical records, and improving workflows for claims and authorizations.

I bring strong written and verbal communication, proficiency in MS Office and Google Apps, and experience with CRM/email/helpdesk platforms like Zendesk and Desk. I seek roles where I can apply my compliance-minded, detail-oriented approach to improve patient access, billing accuracy, and operational quality.

Experience

Work history, roles, and key accomplishments

Billing Specialist / QA Specialist

Tri Valley Urology

May 2024 - Mar 2025 (10 months)

Performed QA for patient intake and aftercare, maintained virtual medical records, uploaded clinical documents, processed prior authorizations and verified insurance benefits to support billing and claims routing.

Medical Billing QA Medical Records Insurance Verification Document Upload Claims Routing

Verification of Insurance Benefits Specialist

SOHO MD

Jun 2020 - Dec 2023 (3 years 6 months)

Acted as patient advocate verifying insurance eligibility and benefits, managing referrals and authorizations, and communicating coverage restrictions to clinical teams to facilitate care delivery.

Insurance Verification Referrals & Authorizations Patient Advocacy Documentation

Account Receivable Executive

Omega Healthcare

Aug 2019 - May 2020 (9 months)

Served as prior authorization specialist for Athena Health, managing outbound authorizations, tracking patient authorizations and coordinating with clinical staff to secure insurance approvals.

Patient Advocacy Insurance Verification Clinical Coordination Outbound Calling Medical Billing Documentation

Customer Support Representative

Concentrix

Sep 2018 - Jul 2019 (10 months)

Supported Intuit QuickBooks accountants and users across Enterprise, Premier and Pro editions with technical troubleshooting, multi-user setup, bank reconciliation help, billing inquiries and escalations.

Quickbooks Multi User Networking Bank Reconciliation Billing Support Technical Troubleshooting Customer Service Escalation Management

Customer Support Representative

Sun Life of Canada

May 2016 - May 2017 (1 year)

Provided inbound member coverage and claims support, web navigation assistance, document organization, appointment scheduling and conducted financial reviews for life and medical insurance products.

Claims Processing Scheduling Financial Reviews Fraud Investigation

Customer Support Representative

EXL Service

Jan 2014 - May 2015 (1 year 4 months)

Supported Aetna specialty drugs account providing inbound coverage and claims assistance, manual approvals, special authorizations and document filing to streamline provider reimbursements.

Medical Billing Document Management Customer Support Healthcare Compliance

Ethernet Provisioner Support

Sykes Asia

Jun 2013 - Jan 2014 (7 months)

Performed Type 1–3 manual back-office Ethernet path provisioning for Verizon clients, handled project proposals, costing, vendor coordination, appointment scheduling and client communications.

Network Engineering Client Communication Email Support Scheduling Documentation

Technical Support Representative

Infosys BPO

Nov 2012 - Mar 2013 (4 months)

Provided inbound technical assistance for AT&T U-verse customers including troubleshooting, appointment scheduling, sales, retention, escalations and manual installations, improving first-contact resolution.