Ralph Viente
@ralphviente
Experienced medical billing specialist focused on maximizing reimbursements.
What I'm looking for
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
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
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.
Administrative Assistant
Brighter Future Support Services
Oct 2019 - Dec 2020 (1 year 2 months)
Experienced in maintaining HIPAA-compliant client records, managing schedules for therapists and psychiatrists, coordinating communication between clients and stakeholders, and preparing documentation for internal and external needs, including insurance and billing.
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
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
Availability
Location
Authorized to work in
Job categories
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