PERLITA N.
Senior Medical Billing Specialist
Open to offersNew to PlatformAbout
Perlita N. is an experienced Senior Medical Billing Specialist with a comprehensive background in healthcare administration, finance, and auditing. With roles at CONNEXT Global and Focusinc Inc, she handled claim coding, claim scrubbing, and managed billing operations for standard and workers’ compensation insurance, specifically supporting 17 Skilled Nursing facilities offering Physical, Occupational, Speech Therapy, and Acupuncture across multiple U.S. states. Her previous work includes customer service analytics and healthcare assistance at Sutherland Global Services, as well as finance, accounts receivable, and internal auditing within the plastics manufacturing sector. Proficient in medical/HMO billing, accounts reconciliation, and data entry, Perlita is adept at using platforms like Waystar and a range of healthcare insurance portals. She holds a Bachelor’s in Accountancy from the University of Mindanao and is certified in HIPAA compliance.
Experience
Senior Medical Billing Specialist
CONNEXT Global · 2025 — 2025Oversee claims scrubbing by checking all claim details for accuracy and updates. Review and correct CPT/diagnosis code mismatches. Manage posting by entering unapplied copays and payments, including claims that are missing from the system.VA HMO Biller
Focusinc Inc · 2021 — 2024Create an aging spreadsheet for accounts receivable to reference and monitor claims. Track application and payment of co-insurance and copays. Conduct outbound calls to verify the status of claims, eligibility, benefits, and authorization while reconciling denied claims. Ensure precise billing in both standard medical and workers' compensation insurance. Maintain timely submission of claims and facilitate collection for 17 Skilled Nursing facilities focusing on therapy services.Healthcare Assistance/Customer Service Analyst
Sutherland Global Services · 2021 — 2021Provide assistance to doctors and clinics regarding benefits, eligibility, and authorizations. Clarify denial reasons related to CPT and diagnosis codes.Proprietor
Napone Agri-Farm Trading · 2011 — 2013Engaged in the buying and selling of agricultural products. Plan daily delivery schedules strategically while managing client contract proposals and signatures.Finance and Accounting Analyst / Internal Auditor
Macondray Plastics Products Incorporated · 2005 — 2013Responsible for managing the sales and accounts receivable bookkeeping. Involved in planning internal audits and performing bank reconciliations. Prepare projections for accounts receivable and office expenditure budgets while visiting clients for accounts reconciliation. Process payment checks for suppliers.
Skills & Expertise
Education
- Bachelor of Secondary EducationThe Rizal Memorial Colleges
- Master in Business AdministrationAMA Education System
- Bachelor of Science in AccountancyUniversity of Mindanao
Interested in this professional?
Sign in as an employer to save this profile or invite PERLITA N. to a job.
Sign in as an employer