Felix S.
Junior Medical Billing & Accounts Receivable Specialist
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Felix S. is a dedicated Medical Billing & Accounts Receivable Specialist with over three years of experience focusing on specialty pharmacy and revenue cycle management. Based in Cebu, Philippines, he is skilled in benefits investigation, prior authorizations, insurance coordination, and prescription processing support. Felix's expertise extends to proficiency in various systems including Tebra, Therapy Appointment, Iris, ICUE, and ISET. He is known for maximizing collections efficiency through detailed-oriented strategies in claim submissions, denial management, and AR follow-ups. Felix holds a Bachelor of Secondary Education in English from Saint Catherine’s College. His continuous professional development includes certifications such as a Certified Medical Billing Specialist from Premier Medical Billing Academy and training in the Specialty Pharmacy MBI Process from Optum Rx. His keen attention to detail and problem-solving acumen in verifying patient eligibility and coordinating with providers ensure accurate reimbursement and patient satisfaction.
Experience
Medical Billing and Benefit Investigation
null · 2022 — 2026Verified patient eligibility and insurance benefits for specialty medications across various U.S. insurance plans. Processed prior authorizations, medication refill requests, and ICD verification while coordinating with providers and insurance companies. Managed claim submissions, denial resolutions, accounts receivable follow-ups, claim corrections, and EOB reviews to ensure proper reimbursement. Calculated patient financial responsibilities and efficiently addressed billing and claim-related issues. Employed Tebra, TherapyAppointment, Iris Tools, and ISET systems for billing, documentation, and workflow management.
Skills & Expertise
Education
- Bachelor of Secondary Education - ENGLISHSaint Catherine’s College · 2015 — 2019