RCM, Medical Biller, CSR

Francis

ID Verified
1,000/mo
Santa Cruz, Philippines
Looking for Full-time
9 hours/day
Availability: US / EU / Asia timezone

Profile Description

Healthcare Customer Service and Revenue Cycle Management professional with 3 years of US healthcare support experience, specializing in patient account resolution, medical billing, insurance verification, credit balances, and claims-related concerns. Proficient in EPIC and experienced in handling high-volume customer interactions while maintaining accuracy, empathy, and strong service quality.

Top Skills

Phone Support · 3 yearsTelehealth Support · 3 yearsMedical Billing · 2 years

Skills & Expertise

Customer Success

Phone SupportAdvanced

Specialized Skills

Telehealth SupportAdvanced
Medical BillingIntermediate

Work Experience

Client Partner | Credit Balance Specialist

Access Healthcare Services

Oct 2024 - Oct 2025

Key Achievements:

Reviewed and resolved 85+ patient credit balance accounts daily, ensuring accurate adjustments and minimizing account discrepancies. Conducted detailed account investigations using hospital billing systems, EPIC, and insurance remittances (EOB/ERA). Processed refund requests for patients, insurance carriers, and third-party payers in compliance with facility and payer guidelines. Collaborated with Cash Posting, Accounts Receivable, and Insurance Follow-Up teams to resolve account issues. Maintained thorough, audit-ready documentation and supported month-end reconciliation of outstanding credit balances.

Medical Billing

Customer Service Representative

Teleperformance PH

May 2022 - Oct 2024

Key Achievements:

Delivered professional and compassionate support to patients, healthcare providers, and internal departments. Handled high-volume patient inquiries, resolved billing concerns, and ensured accurate account updates in a fast-paced healthcare support environment. Investigated patient balances by reviewing explanations of benefits, denials, and documented account activity. Coordinated with referring physicians and insurance companies to address patient and account-related concerns. Consistently met key performance indicators, including quality assurance, productivity, and customer satisfaction metrics.

Telehealth SupportPhone Support

Quick Stats

Age35 years
English LevelFluent
ID VerificationVerified

Certifications

EF SET English Certificate - C2 Proficient