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Jocell Z. — Mid-Level Medical Billing Specialist from Philippines

Jocell Z.

Mid-Level Medical Billing Specialist

Philippines 1-2 years
Open to offersNew to Platform
Languages
English
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About

Jocell T. is a seasoned Medical Billing Specialist and Claims Specialist with expertise in the mental health and substance abuse sectors. Possessing a Bachelor of Science in Agriculture with a focus on Animal Science from Pampanga State Agricultural University, Jocell successfully transitioned his skills into managing insurance claims. At 409 Central Hub Management Inc., he expertly processes and follows up on medical insurance claims, including verifying patient eligibility and conducting detailed reviews of claims through Availity and payer portals. His work involves engaging with major insurance providers like Aetna, Anthem, and BCBS to resolve claims efficiently. Jocell's comprehensive knowledge in ICD-10-CM coding, HCPCS coding, and medical reimbursement systems ensures accurate documentation and resolution of billing issues. Throughout his career, particularly in roles at Iqor and Savers Group of Holdings Inc., he has demonstrated meticulous attention to detail and a strong commitment to compliance with health insurance guidelines, emphasizing HIPAA standards.

Experience

  • Medical Billing Specialist | Claims Specialist

    409 Central Hub Management Inc. · 2024 — 2026
    Processed and followed up on medical insurance claims, verifying patient eligibility and benefits using Availity and payer portals. Managed communication with insurance providers like Aetna, Anthem, BCBS, and UHC for claim status and resolution, while documenting updates in MD Collaborate. Investigated claim denials and discrepancies, monitored aging accounts, and performed account audits to maintain accurate claim documentation and ensure timely follow-up on outstanding accounts.
  • Operations Assistant

    Savers Group of Holdings Inc. · 2024 — 2024
    Handled administrative tasks to support daily operations by coordinating with teams and updating records to ensure a smooth workflow.
  • Customer Service Representative

    Iqor Clark · 2023 — 2023
    Provided customer support for Assurance Wireless by assisting customers with government phone applications, data access, and basic troubleshooting.

Skills & Expertise

Education

  • Bachelor of Science in Agriculture, major in Animal Science
    Pampanga State Agricultural University · 2017 — 2023

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