Mark D.
Junior Medical Billing Specialist
Actively lookingNew to PlatformAbout
Mark Daniel M. is an experienced Medical Billing Specialist and Customer Service Representative based in the Philippines, with a proven track record in the healthcare and business process outsourcing industries. At Peoples Billing LLC, he managed end-to-end medical billing, including EMR/EHR systems operation, claim submission, follow-ups with insurance companies, and adherence to strict HIPAA compliance standards. Mark Daniel efficiently utilized CPT, ICD-9, ICD-10, and DRG coding while ensuring secure patient data handling and accurate reimbursement processes. His customer service background at Continuum Global Solutions and CGI Philippines involved assisting clients with prescription and insurance inquiries, resolving account issues, and maintaining clear communication, all while working in fast-paced, remote environments.
Experience
Remote Medical Billing Specialist
Peoples Billing LLC-Missouri City, TX · 2023 — 2026Oversaw complete medical billing processes, handling charge entry, claim submissions, and payment postings. Submitted electronic medical claims using EMR/EHR and practice management systems remotely. Managed claim rejections and denials to facilitate timely reimbursements. Conducted follow-ups with insurance companies through various communication channels. Created and submitted accurate claims following CPT, ICD-9, ICD-10, and DRG coding standards. Interacted with providers and administrative staff across email, chat, and virtual meetings. Ensured HIPAA compliance and secure patient data management while working remotely. Achieved productivity and accuracy targets independently, utilizing clearinghouses and online portals to monitor claim statuses. Followed up on outstanding claims for timelyCustomer Service Representative
Continuum Global Solutions-Mandaluyong City · 2021 — 2023Provided assistance to customers regarding prescription inquiries, insurance coverage, order status, and general account issues through phone and digital systems. Simplified complex insurance information to enhance member understanding and satisfaction. Adhered to HIPAA regulations while managing sensitive health information, documenting interactions meticulously, and delivering positive customer experiences. Exhibited strong communication, time management, and the ability to operate efficiently in a fast-paced remote setting.Market Researcher
Dynata SSI Philippines-Davao · 2020 — 2020Conducted telephone interviews for research studies covering consumer, political, and social topics. Engaged respondents in a professional manner, adhering to scripted questionnaires. Ensured accurate data entry throughout live interviews, verifying respondent eligibility and survey precision. Accomplished daily productivity and quality benchmarks while collaborating with team leaders to enhance call flow and survey completion.Customer Care Associate
CGI Philippines-Caloocan, Quezon City · 2017 — 2019Focused on maintaining customer satisfaction through proactive strategies designed to meet customer needs and resolve issues. Responded promptly to customer calls to minimize wait times, addressing a steady flow of inquiries efficiently. Assisted customers with appointment scheduling, special order requests, and merchandise pick-up arrangements.
Skills & Expertise
Education
- Bachelor of Science in Information Techology (Bachelor's degree)Informatics International College · 2006 — 2009
- Elementary Education (Grade School)Project 6 Elementary School · 1996 — 2002
- High school diplomaErnesto Rondon High School · 1996 — 2002
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