Open to opportunities

Xuphya Franzynn Dequiña

@xuphyafranzynndequia

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Dedicated Certified Medical Biller with expertise in RCM and billing.

Philippines

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What I'm looking for

I am looking for a role that allows me to utilize my medical billing expertise while contributing to a supportive healthcare team.

I am a dedicated Certified Medical Biller with extensive knowledge and training in Revenue Cycle Management (RCM) processes, accounts receivable (A/R), and HIPAA compliance. My experience includes working as a Billing and Credentialing Specialist at Prime Health Solutions LLC, where I handle charge entry, claim submissions, and insurance verifications. I am passionate about ensuring accurate billing procedures and facilitating payments for healthcare facilities.

In my previous role as a Virtual Assistant and Appointment Setter at VAS Outsourcing, I honed my skills in lead generation and appointment scheduling. This experience has equipped me with strong organizational and time management skills, which I apply to my current position to streamline billing processes effectively. I am committed to continuous learning and professional development, as evidenced by my ongoing education in nursing and specialized training in medical billing.

Experience

Work history, roles, and key accomplishments

Current

Billing and Credentialing Specialist

Current

Prime Health Solutions LLC

Aug 2023 - Present (1 year 10 months)

Managed charge entry, claim submission, and A/R follow-ups, ensuring accurate insurance verification, authorization, and prior authorization. Processed payment posting and handled credentialing for various healthcare providers including Wound Care, PMHNP, PCP, and PA.

Insurance Verification Credentialing HIPAA

Virtual Assistant / Appointment Setter

VAS Outsourcing

Jan 2023 - Jul 2023 (6 months)

Performed cold calling for lead generation, researching business owners interested in selling their businesses. Scheduled consultations between business brokers and leads for business valuation and qualified leads based on annual revenue, location, and business type.

Cold Calling Lead Generation Appointment Setting Valuation Lead Qualification Zoom RingCentral

Education

Degrees, certifications, and relevant coursework

Davao Medical School Foundation, Inc.

Bachelor of Science in Nursing, Nursing

Currently pursuing a Bachelor of Science in Nursing, focusing on comprehensive patient care and medical principles. Coursework includes anatomy, physiology, pharmacology, and clinical practices essential for healthcare professionals.

Premier Medical Billing Academy

Training Completion, Medical Billing

Undertook specialized training in Medical Billing, encompassing US Healthcare Denial Management and Revenue Cycle Management. Developed expertise in EMR/EHR tool navigation, charge entry, claim submission processes, and HIPAA compliance.

Xavier University - Ateneo de Cagayan

Senior High School Diploma, STEM

Completed Senior High School with a specialization in Science, Technology, Engineering, and Mathematics (STEM). Gained foundational knowledge across various scientific disciplines and mathematical concepts.