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WK@wilmajoykaiklian
Experienced Medical Billing Specialist with a focus on revenue cycle management.
PhilippinesI am a detail-oriented Medical Billing Specialist with over 8 years of experience in U.S. healthcare billing. My expertise spans inpatient, outpatient, surgeries, and orthopedic billing, where I have successfully managed end-to-end revenue cycle processes. I am proficient in using Epic EMR for billing workflows, payment posting, and reporting, ensuring accuracy and compliance with CPT, ICD-10, and HCPCS codes.
In my current role as a Billing Supervisor at Conifer Health Solutions, I lead a team of billers, focusing on improving performance through coaching and mentorship. I excel in managing client communications and delivering insights on claims and reimbursements. My commitment to training and supporting team performance in high-volume environments has been recognized, and I take pride in fostering a culture of continuous improvement.
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Work history, roles, and key accomplishments
Conifer Health Solutions
Jan 2023 - Present (2 years 10 months)
Supervised a team of billers handling U.S.-based hospital accounts, focusing on inpatient/outpatient orthopedic and surgical billing processes. Managed end-to-end billing workflows in Epic EMR, including claim submission, rejection handling, and reporting.
Conifer Health Solutions
Jul 2022 - Dec 2022 (5 months)
Served as Subject Matter Expert for billing operations across three U.S.-based client projects. Assisted new hires in mastering Epic EMR and billing workflows through documentation, mentorship, and live support.
CHS
Oct 2021 - Jul 2022 (9 months)
Processed high-volume electronic claims using Epic EMR for U.S. hospitals and providers. Ensured accurate claim coding and submission according to U.S. insurance payer guidelines.
Blueshield of California
Jul 2017 - Aug 2021 (4 years 1 month)
Handled U.S.-based provider calls on eligibility, benefits, and claim status across Tier 1 and Tier 2 departments. Gained in-depth knowledge of CMS-1500 and UB-04 claim forms and high-dollar claim exceptions.
Degrees, certifications, and relevant coursework
Bachelor of Science, Information Technology
Studied information technology at Cavite State University, focusing on core concepts and practical applications. Gained foundational knowledge relevant to modern technological landscapes.
Software and tools used professionally
PhilippinesYou can contact Wilma Joy and 90k+ other talented remote workers on Himalayas.
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