ANNE

Medical Biller

ANNE

ID Verified
880/mo
Makati, Philippines
Looking for Full-time
8 hours/day
Availability: Asia timezone

Profile Description

Versatile and detail-oriented professional offering a unique combination of 4 years in the medical industry and 3 years of online chat moderation experience. Proven expert in managing high-pressure situations, navigating strict regulatory guidelines (such as HIPAA), and communicating with diverse populations with empathy and discretion. Skilled at enforcing platform policies, de-escalating sensitive user conflicts in real-time, and translating complex information into clear, comforting digital i...

Top Skills

Airtable · <1 yearData Entry · <1 yearEmail Support · <1 yearExcel (Advanced) · <1 yearGoogle Sheets (Advanced) · <1 year

Skills & Expertise

Data & Analytics

Google Sheets (Advanced)Beginner
Excel (Advanced)Beginner

Customer Success

Live Chat SupportBeginner
Email SupportBeginner

Virtual Assistance & Admin

Data EntryBeginner
Monday.comBeginner
AirtableBeginner

Work Experience

Chat Moderator

AsiaPro

Jan 2019 - Present

Job Responsibilities:

Review active in-game public chats, whisper systems, guild channels, or associated community spaces (like Discord) for policy violations. Issue appropriate penalties—such as warnings, mutes, temporary suspensions, or account bans—based on the severity of the offense. Detect and remove inappropriate content, including hate speech, explicit language, scams, real-world trading (RWT) advertisements, a...

Excel (Advanced)Data EntryLive Chat Support

Computer Shop Attendant

Mine21 Net Cafe

May 2008 - Present

Job Responsibilities:

Responding to customer inquiries and emergencies as needed Monitoring computer systems for malfunctions and errors Performing maintenance and updates on hardware and software systems as needed Providing customers with training on the operation and maintenance of various computer systems Basic computer troubleshooting

Excel (Advanced)

Credentialing Specialist

Theoria Medical PLLC

Aug 2024 - Sep 2026

Job Responsibilities:

Processed 50+ provider applications monthly for our company insurance and collaboration agreement. Monitored expiration dates for state licenses, DEA registrations, and certifications, completely eliminating lapses in coverage. Collaborated closely with State Directors and department heads to gather missing documentation and resolve background discrepancies efficiently. Generated monthly complianc...

Data EntryMonday.comEmail Support

Medical Biller/Coder

Driven Care Inc. (Rume Health)

Mar 2022 - May 2024

Job Responsibilities:

Prepare and submit electronic or paper insurance claims using medical billing software. Review medical codes (ICD-10, CPT, HCPCS) provided by medical coders to ensure they match clinical documentation. Review, correct, and appeal denied or rejected claims to maximize practice revenue. Enter payments from insurance companies (EOBs/ERAs) and patients into the practice management system. Issue statem...

Data EntryAirtable

Data Analyst

G9 Outsourcing

Nov 2010 - May 2015

Job Responsibilities:

Work with large amounts of data Data is gathered, reviewed, and then analyzed to form some finding or conclusion Research details about the data Reporting data errors Edit and rephrase data with correct terms and spelling Work with the Team Leads in training employees on new procedures, assist with the implementation and monitor. Collected, organized and input information into databases for storag...

Excel (Advanced)Data Entry

Sales Consultant

Stores Specialist Inc.

May 2010 - Oct 2010

Job Responsibilities:

Assisting and promoting the items to the customer Identifying and meeting customer needs Maintaining good after-sales relationships Providing detailed information about the products Preparing and submitting daily inventory and sales reports Assisting new deliveries and revising stock numbers Do suggestive selling for better sales.

Cashier

Jolibee Food Corporation

May 2002 - Jul 2002

Job Responsibilities:

Manage transactions with customers using cash registers. Collect payments whether in cash or voucher. Issue receipts, refunds, or changes. Redeem stamps and coupons. Cross-sell products and introduce new ones.

Quick Stats

Age45 years
English LevelConversational
ID VerificationVerified
Portfolio
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Certifications

Healthcare Patient Intake, Call Handling and Scheduling Practical Training
Finishing Course for a Call Center Representative
Computer Secretary