Open to opportunities

Venice Chrisaine

@venicechrisaine

Message

Registered nurse turned medical revenue cycle specialist driving accurate billing and faster reimbursements.

Philippines

Message

What I'm looking for

I’m looking to continue driving accurate, compliant U.S. medical billing and AR workflows—reducing denials, resolving underpayments, and accelerating reimbursements through proactive payer follow-ups and clear, documented claims management.

I’m a results-driven Registered Nurse with over 5 years of experience in U.S. healthcare revenue cycle management, specializing in medical billing, insurance verification, denial resolution, accounts receivable follow-up, and financial billing operations.

I’ve built a strong track record of improving claim accuracy, reducing denials, accelerating reimbursements, and maintaining payer relationships across commercial and government insurance plans. I lead end-to-end billing workflows with a focus on compliance, accuracy, and operational efficiency.

In recent roles, I’ve recovered $50,000+ in denied claims and processed 150+ claims weekly with high accuracy by leveraging EMR/EHR systems, payer portals, EOB/ERA reviews, and aging report monitoring. I’m especially strong in HIPAA-aligned documentation and proactive follow-ups to protect revenue and speed resolution.

Experience

Work history, roles, and key accomplishments

Lead Finance Billing Specialist

Behavioral Therapy Clinic

Oct 2025 - May 2026 (7 months)

Led daily billing operations for behavioral health claims, including insurance follow-up, payment posting, and billing reconciliation. Recovered $50,000+ in denied claims, reduced claim errors, and processed 150+ claims weekly with high accuracy.

Medical Billing Medical Billing Operations Claims Processing Denial Management Payment Posting Reconciliations Prior Authorizations Excel Behavioral Health Claims

Accounts Payable Specialist

Behavioral Therapy Clinic

May 2023 - Aug 2025 (2 years 3 months)

Handled high volumes of denied claims by reviewing claim status and denial reasons and initiating corrections or reconsideration requests. Posted payments, adjustments, and patient balances in AdvancedMD while maintaining compliant claim documentation.

Medical Billing Denial Management Payment Posting Adjusting Claims Documentation Advanced MD UHC Carelon Cigna

Medical Billing Specialist

Physical & Occupational Therapy Clinic

Oct 2020 - May 2023 (2 years 7 months)

Managed full-cycle U.S. medical billing, including insurance eligibility verification, benefits review, and prior authorization requirements. Performed denial management and appeals, monitored AR aging in Excel, and posted payments with accurate financial reconciliation.

Insurance Verification Benefit Review Prior Authorizations Denial Management Denials Appeals Excel Payment Posting Reconciliations