About Me
Hi,
I've worked in the healthcare industry, 3 years as a Claims and Benefits Analyst for UHC, and 4 years as a Medical Biller. I have a background in payment posting, authorization, charge entry for workers comp, commercial, and no-fault claims, building post-level appeals for auto insurance, and as an AR rep for revenue cycle management.
My resume link:
https://www.canva.com/design/DAGYiBBEhDw/8jXkhc_1M3jjEBzRfnck3Q/edit?utm_content=DAGYiBBEhDw&utm_campaign=designshare&utm_medium=link2&utm_source=sharebutton
I've worked simultaneously with 23 chiropractic clinics at Compu-MED Billing Services posting payments from commercial insurance portals, clearinghouses, EOBs received through fax and mail, managing recoupments, and patient payments.
I'm also doing charge entry for Workers' Compensation, No-Fault, and commercial insurance claims.
I also handle post-level appeals for for auto-insurances, from building their appeal narratives and HCFAs to managing pre-certifications and EOBs of each claims
Then As a Prior Authorization Specialist, I collaborated with insurance case managers in handling timely approval of prior authorizations, retro-authorization, and single case agreements when needed.
In addition, being an AR rep for a short amount of time gives me a good grasp in filling an appeal for underpaid claims, sending medical records, resolving rejections within standard billing cycle time frame, and Calling insurance to get eligibility details like copay, coinsurance, and deductibles for new patients
Hoping to have the opportunity to contribute to your team.
Jose Rafael Talia Hernandez
+63 939-641-3573/ +63 926-706-0711
jorenz.rafael@gmail.com
https://www.tiktok.com/@medicalbilling101
Skype: live:.cid.8f4ad72437dffbf