Ryan Christopher Dumo

Managed full revenue cycle for an ophthalmology physician practice including charge entry, coding review, claims submission, denials follow-up, and payment posting, improving AR accuracy and timely reimbursement.

Performed end-to-end RCM for physician and hospital accounts, processed HCFA/CMS-1500 and UB-04 claims, conducted coding review (CPT/HCPCS/ICD-10), posted payments, and managed denials and appeals.

Managed medical billing and claims processing, posted patient and insurance payments, reconciled accounts, submitted electronic claims, and followed up on denials to ensure compliance with payer rules and HIPAA.

Provided customer support and supervised email-based resolution of member inquiries and escalations within SLAs, handling eligibility, benefits, and claims questions for health plan members.

Assisted health plan members with eligibility, benefits, and claims inquiries via member services, maintaining compliance and meeting service targets.

Completed secondary education at Saint Joseph's College of Quezon City from 2006 to 2016.

Completed primary education at Saint Joseph's College of Quezon City from 1996 to 2002.

Completed coursework toward a Bachelor of Science in Nursing (4th Year, 1st Semester).

Completed coursework toward a Bachelor of Science in Pharmacy (3rd Year, 1st Semester).