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Lea Mare Quiñones

Medical Billing Specialist, Customer Service Expert

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Intro
Rodriguez, Rizal, Philippines
Medical Practice
Joined May 9, 2023

Skills

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English
-
Fluent
About
I have been a Medical biller and medical billing assistant with over 3 years of experience specializing in claims submission, accounts receivable specialist, insurance verification specialist, and payment posting and I've worked for US medical billing third-party providers. I can communicate effectively with insurance providers, patients, and medical professionals to confirm information for claim denials and eligibility status. I am efficient in using the provider's portals such as Availity, Noridian, Blue Shield of CA, Navinet, and more. I have a background in using EHR tools such as Office Ally, Mdsynergy, AthenaHealth, and DrChrono. I've used Zendesk and Salesforce as well. I also have 5 years of experience as a customer service representative with a sales background. As part of the customer service department, my main goal is to help resolve the issues of the client or customers. Provide the best customer service experience and help them understand the self-help options that the company provides so they can save time instead of calling the customer service hotline numbers.
Experience
User avatar
Girit Consulting Firm
Jan 2021 – Jan 2023
Santa Monica, CA
Medical Billing Assistant
● Submit claims ● Follow-up account receivables ● Call the insurance provider and follow up on denied claims ● Apply for payments from ERA ● Apply for payments from EOB ● Follow-up documents like medical records for denied claims
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Happier Living
Jan 2020 – Jan 2021
Customer Service/ Medical Biller
● Submit claims ● Call the insurance policy payer for the authorization code and eligibility status ● Update the Patient's information on Athena ● Follow-up account receivables ● Call the insurance provider and follow up on denied claims ● Update and Apply the patient's payment information and ERA. ● Apply EOB ● Follow-up documents like medical records for denied claims
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T-mobile USA- Alorica
Jan 2016 – Jan 2020
Davao City, Philippines
Team of Expert Representative
● Answer general questions about billing, network coverage, services, fees, and more ● Troubleshoot issues like network coverage of the device, device ● technical issues, and check ongoing issues on network coverage in the area ● Process sales, account activation, and change rate plan ● Check issues in billing to advise better rate plans that suit the customer ● Part of the retention team, we provide services beyond to keep the customer stay with T-mobile
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Expedia INC, Teleperformance Philippines
Jan 2015 – Jan 2016
Davao City, Philippines
Package Expert Service Representative
● Book flights, hotel and package reservation for customers ● Fixed flight schedule change, reschedule, cancellation ● Process schedule changes using system as Saber and Amadeus
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