Ralph VienteRV
Open to opportunities

Ralph Viente

@ralphviente

Experienced medical billing specialist focused on maximizing reimbursements.

Philippines

What I'm looking for

I am looking for a role that allows me to leverage my billing expertise while contributing to a team focused on financial success and operational efficiency.

I am a dedicated Medical Biller with over four years of experience in medical billing and revenue cycle management. My journey has equipped me with the skills to streamline billing operations, resolve claims efficiently, and maximize reimbursements for healthcare providers. At Health Care Coding Integrity, I specialized in processing claims, managing denials, and ensuring accurate payment postings. My analytical skills allow me to investigate denied claims and submit detailed appeals, which have significantly improved cash flow and revenue cycle performance.

In my previous role as an AR Associate at Dentistry Support, I honed my abilities in charge entry, insurance verification, and account reconciliation. I am proficient in various EHR/EMR platforms such as Dentrix, RemoteLite, Tebra, SimplePractice, and DrChrono, which I utilize to manage patient records and track payments efficiently. My strong attention to detail and problem-solving skills enable me to foster productive relationships with insurance companies, healthcare providers, and patients, ensuring compliance with payer guidelines and minimizing claim rejections.

Experience

Work history, roles, and key accomplishments

HI

Medical Biller

Health Care Coding Integrity

May 2021 - Nov 2024 (3 years 6 months)

As a Medical Biller, I specialize in claims submission, follow-up, denied claims management, and payment posting. I ensure accurate and timely submission of insurance claims, adhering to payer guidelines to reduce denials. I proactively follow up on outstanding claims to resolve payment delays and manage denied claims by identifying issues and working with insurance providers to secure reimburseme

DS

AR Associate

Dentistry Support

Jan 2021 - May 2021 (4 months)

The role involves accurately processing charge entries to ensure all services and procedures are billed correctly. Insurance claims are submitted efficiently while adhering to payer guidelines to minimize rejections or delays. Responsibilities also include conducting thorough research on unpaid or underpaid claims and performing accounts receivable follow-ups to secure timely reimbursements.

HI

Claims Analyst

Health Care Coding Integrity

Jan 2019 - Apr 2019 (3 months)

Experienced in resolving insurance denials, analyzing Accounts Receivable reports, and ensuring accurate financial records by investigating, correcting, and resubmitting claims. Skilled in sending appeals with documentation, managing timely billing, and maintaining communication with insurance providers, adjusters, and patients.

Education

Degrees, certifications, and relevant coursework

University of the Philippines Diliman logoUD

University of the Philippines Diliman

Bachelor in Science, Mechanical Engineering

2014 - 2018

Completed a Bachelor in Science in Mechanical Engineering, focusing on the principles of engineering design, thermodynamics, fluid mechanics, and materials science. Developed strong analytical and problem-solving skills through various projects and coursework.

Tech stack

Software and tools used professionally

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Ralph Viente - Medical Biller - Health Care Coding Integrity | Himalayas