PERLITA N.
Mid-Level Medical Billing Specialist
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Perlita N. is a seasoned professional with extensive experience in the healthcare, finance, customer service, and agriculture industries. As a Senior Medical Billing Specialist and VA HMO Biller, she has handled end-to-end medical billing for standard and workers’ compensation claims, managing accounts for 17 skilled nursing facilities across multiple U.S. states. Her responsibilities include claims scrubbing, posting unapplied copays and payments, generating Accounts Receivable Aging Spreadsheets, and reconciliation of denied claims. Previously, she supported doctors and clinics with eligibility, benefits, and authorization inquiries as a Healthcare Assistance/Customer Service Analyst, and gained auditing and financial analysis experience at a plastics manufacturing company. Proven expertise in account reconciliation, medical billing, and data entry is complemented by her proficiency with tools such as MS Excel, Google Sheets, Waystar, Availity, TotalMD, and major healthcare insurance portals.
Experience
Senior Medical Billing Specialist
CONNEXT Global · 2025 — 2025Conducted claims scrubbing by verifying all details for accuracy and necessary updates. Reviewed and adjusted CPT/diagnosis code mismatches. Managed the posting of unapplied copays and payments, as well as manual entry of claims not present in the system.VA HMO Biller
Focusinc Inc · 2021 — 2024Generated an Accounts Receivable Aging Spreadsheet to reference and monitor claims. Ensured correct application and payment of co-insurance and copays. Made outbound calls to confirm status regarding claims, eligibility, benefits, authorization, and reconciled denied claims. Maintained the timely submission of claims and collections while managing 17 Skilled Nursing facilities with a focus on Physical, Occupational, Speech Therapy, and Acupuncture across several states.Healthcare Assistance/Customer Service Analyst
Sutherland Global Services · 2016 — 2021Assisted doctors and clinics with inquiries on benefits, eligibility, and authorization. Explained denial reasons associated with CPT and diagnosis codes. Supported clients with fund transfers and account reconciliation.Proprietor
Napone Agri-Farm Trading · 2011 — 2013Engaged in the buying and selling of agricultural products. Developed strategic plans for daily delivery schedules and facilitated effective proposals for client contract signings.Finance and Accounting Analyst / Internal Auditor
Macondray Plastics Products Incorporated · 2005 — 2013Oversaw the Sales & Accounts Receivable ledger. Conducted planning and internal audits, performed bank reconciliations, and projected Accounts Receivable and expenditure budgets. Conducted client visits for Accounts Receivable reconciliation and processed supplier payments via check.
Skills & Expertise
Education
- Bachelor of Secondary EducationThe Rizal Memorial Colleges
- Master in Business AdministrationAMA Education System
- Bachelor of Science in AccountancyUniversity of Mindanao
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