Talent Headshot
Maureen Pua
rososmaureen@gmail.com
09455608988
PH
About Me
Hi, my name is Maureen. I am a certified medical virtual assistant and a registered nurse with more than 10 years of experience in US healthcare. Started as a medical coder, promoted to quality analyst and team leader. When I joined the US healthcare account, I learned how to handle benefits, claims, authorization, and appeals for providers and members. I became a senior subject matter expert supporting a remote team. I was then a medical virtual assistant in a physical therapy clinic and, more recently, a medical biller focused on accounts receivables using NextGen. There, I honed my skills in verification, claims submission, billing, and communication with insurance reps and claims adjusters for multiple payers, including workers' compensation and auto. Also, I was tasked with training new staff, which helped the growth of my previous practice.
Basic Information
Full Name
Maureen Pua
Email Address
rososmaureen@gmail.com
Phone
09455608988
Location
PH
Education
Education Completed
Bachelor Degree
Institution/School
Field of Study
Nursing
Graduation Year
2009
Current Enrollment
Graduated
GPA/Grade
Certifications
Achievements
Work & Experience
Company Name 1
Northern Illinois Foot and Ankle
Job Title
Medical Biller | Accounts Receivable Coordinator
Start Date
13/08/2022
End Date
12/11/2024
Job Description
AR Management / Handling ERA Analyzing payment from payer's Explanation of Benefit Resolving denied/rejected aging claims | Posting & adjusting claims Verifying the eligibility/benefits/COB of patients using provider portals Handle multiple primary/secondary payers (Commercial, Medicare, WC/Auto) Billing corrected claims accurately to insurance Generate and update Accounts receivable report Send RCA to clients to identify trending issues Work with the team to resolve common denials Contact payer for recurring denial, delayed payments and old claims Coordinate coding issues with the coding team Monitor claims and payments from the insurance Provide training to the incoming billing staff Consolidate EOD reports and send to the client
Company Name 2
BULLSEYE PHYSICAL THERAPY, P.L.L.C.
Job Title
Medical Virtual Assistant
Start Date
05/07/2021
End Date
04/06/2022
Job Description
Handled credentialing, contracting, and enrollment of the therapist to different insurances (BCBS, Cigna, Aetna, Medicare, Medicaid, etc.) Patient insurance verification (benefits, eligibility) Request Prior authorization as needed Administrative tasks (responding to emails, manage incoming fax, patient appointment scheduling, inbound/outbound calls for provider's credentials) Coordinate with the digital marketing partner for any necessary updates needed on the clinic’s website
Hourly Charge
Employment Type
Professional Skills
Technical Skills
Creative Skills
Business Skills
Communication