Mariel F.

You should hire me because I have a strong background in US healthcare, medical billing, insurance verification, AR, and appointment scheduling, with experience supporting both mental health and dental practices. I’m detail-oriented and understand how important accuracy, timely follow-ups, and clear communication are in healthcare. I’m also flexible, dependable, and a fast learner. I can adapt to different workflows and software, and I’m always willing to learn new responsibilities. Most importantly, I take ownership of my work and make sure I provide consistent support so the team can focus on delivering quality patient care.

• Medical Biller, Insurance Verification and A/R Specialist

  Taral Sharma MD.,PC (DBA: Carolina Psychiatry) · 2024 — 2026
  In the role of AR Specialist, responsibilities included reviewing and prioritizing outstanding insurance accounts by aging, following up with insurance companies on unpaid and underpaid claims, and documenting all AR follow-up activities. As part of payment posting, accurate and prompt posting of insurance and patient payments was required, alongside reconciliation of EOBs/ERAs against posted payments. Patient collections involved reviewing accounts with outstanding balances, contacting patients, and documenting collection activities.

• Insurance Verification and AR Follow-up

  SHELTON FAMILY DENTAL (Part-time) · 2024 — 2025
  Focused on reviewing and prioritizing outstanding insurance and patient accounts based on aging, the role involved following up on unpaid and underpaid claims, researching discrepancies, and documenting all actions taken. High-priority accounts were escalated as necessary to maximize collections.

• Dental Virtual Assistant – Insurance Verification & A/R Specialist

  California LLC – Berkeley Dental Center · 2024 — 2024
  Duties included verifying patient eligibility and insurance coverage, confirming requirements for dental procedures, and maintaining accurate patient records. In accounts receivables, preparation and submission of insurance claims were essential for reimbursement, as well as monitoring outstanding claims and handling billing inquiries.

• Member Services (Customer Service)

  OPTUM GLOBAL SOLUTIONS (Pharmacy Benefits) · 2022 — 2024
  Responsibilities comprised answering customer inquiries through various channels, providing information regarding health plans and services, and resolving issues. Interaction documentation was a key aspect to maintain accurate customer records.

• Medical Billing: (Charge Entry, Claims Submission, AR Specialist, Denial Management, Payment Posting)

  PREMIER MEDICAL BILLING (REMOTE) · 2018 — 2020
  Tasked with entering patient charges accurately from provider documentation and verifying codes pre-claims submission. Preparation of clean claims for submission to insurance payers and monitoring for claim acceptance were also critical aspects of the role. Managing accounts receivable included generating AR aging reports and contacting insurers regarding unpaid accounts, while denial management involved reviewing claims to identify non-payment reasons and submitting corrections as necessary.

• BS and Elementary Education

  University of Cebu · 2009 — 2009