Marisa H.
Senior Healthcare Revenue Cycle Specialist
Open to offersNew to PlatformAbout
Marisa H. is an experienced professional with a robust seven-year background in the healthcare industry, specifically in customer service, claims management, authorization, and medical billing. She holds a Bachelor of Science in Home Economics from Western Mindanao State University. Her career is marked by significant contributions to revenue cycle management and insurance claims resolution. At Comprehensive Healthcare Solutions in Seattle, she honed her skills handling skilled nursing facility claims and managing claim denials. During her tenure at MBH Services LLC in New York, she managed prior authorizations for mental and behavioral health, working with insurance providers like Fidelis Care and Aetna. As a Medical Virtual Assistant and Medical Biller at West Coast Wound & Skin Care Inc., Marisa executed root cause analyses on claim denials, delivered on reducing aging accounts receivable, and specialized in denial resolution. Her expertise extends to tools and platforms such as RingRx, MS Teams, Outlook, and various healthcare portals, making her a valuable asset to her teams.
Experience
Medical Virtual Assistant & Medical Biller
West Coast Wound & Skin Care Inc. · 2022 — 2026Managed denied and underpaid claims from both commercial and government payers. Conducted root cause analysis for claim denials and payment discrepancies, submitting appeals, corrected claims, and supporting documentation while collaborating with payers and internal teams to facilitate timely reimbursement.Prior Auth Specialist (Part-Time)
MBH Services LLC · 2025 — 2025Processed prior authorization requests for mental and behavioral health services. Followed up on the status of authorizations through portals and phone calls, engaging with clients and case managers via email to ensure compliance with deadlines aimed at preventing billing denials.Assistant Medical Biller
Comprehensive Healthcare Solutions · 2021 — 2022Handled claims for skilled nursing facilities, focusing on denial management tasks, including corrections, resubmissions, and creating appeals. Verified claim statuses and eligibility through health insurance portals and conducted outbound calls to request Explanation of Benefits (EOBs).Customer Service Representative & Subject Matter Expert
Healthnet · 2019 — 2021Provided assistance with claims status, appeal status, authorization, eligibility, and benefits to both providers and members. Facilitated changes in Primary Care Provider (PCP) and Managed Group (PMG), and scheduled appointments for members, while handling supervisor calls professionally.
Skills & Expertise
Education
- Bachelor of Science in Home EconomicsWESTERN MINDANAO STATE UNIVERSITY · — — 2019