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Reynar G. — Mid-Level Revenue Cycle Management Supervisor from Philippines

Reynar G.

Mid-Level Revenue Cycle Management Supervisor

Philippines 6+ years
Open to offersNew to Platform
Languages
English
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About

Reynar G. is a dynamic professional renowned for his expertise in Revenue Cycle Management (RCM) with a strong focus on medical billing and insurance claims. As an Account Supervisor at Athena East BPO Inc, he leads a dedicated team, optimizing workflow efficiency through strategic delegation and cross-departmental collaboration. Reynar excels in managing complex claims submissions, denial resolutions, and executing appeals to recover lost revenue. His role involves developing and implementing Standard Operating Procedures (SOPs) to streamline billing practices and enhance team performance. Prior to his current position, he served as a Supervisor at Countrywide Medical - AJT Diabetic Inc, where he drove productivity by transitioning to electronic claim submissions and crafted tools to address claims denial issues. His earlier experience includes managing accounts receivable at Abbott Philippines, where he ensured claims accuracy and compliance with insurance guidelines. Reynar holds a Bachelor of Commerce in Accountancy and possesses knowledge of medical coding and insurance systems, solidifying his position as a leader in the healthcare administration sector.

Experience

  • Supervisor - Revenue Cycle Management

    Countrywide Medical - AJT Diabetic Inc. · 2018 — 2026
    Supervise and manage the daily workflow of the billing team, ensuring productivity and compliance with filing limits. Review complex medical claims to ensure accuracy and adherence to payer guidelines. Oversee denial resolution and manage appeals, ensuring recovery of lost revenue. Direct audits of overpayments and refunds, maintaining financial compliance. Develop and implement Standard Operating Procedures (SOPs) to enhance billing practices and team efficiency. Provide training and onboarding for new personnel, covering RCM systems and workflow processes. Collaborate with the Credentialing Team to address contract discrepancies and ensure payer alignment. Manage security and portal access for various payer and clearinghouse platforms.
  • Accounts Receivable Coordinator

    Abbott Philippines · 2015 — 2018
    Verified patient eligibility and coverage under various medical insurances. Maintained patient confidentiality while checking outstanding balances on accounts. Investigated reasons for denied claims, resolved issues by communicating with insurance companies, and resubmitted claims as necessary. Documented findings and reported discrepancies to supervisors.
  • Provider Care Assistant - Claims Specialist

    Xerox Company, ACS OF THE PHILIPPINES · 2012 — 2015
    Answered phone inquiries related to health insurance, providing customers with information about benefits and claims statuses.
  • Bookkeeper

    AMR MEDICAL RESOURCES · 2006 — 2012
    Provided administrative support and clerical services to ensure efficient office operations. Managed correspondence, maintained files, and updated records. Took minutes during meetings and assisted with the coordination of office equipment repairs. Handled financial transactions and maintained accurate records of all activities.
  • Administration Officer

    AMR Medical Resources · 2006 — 2012
    Performed administrative duties to support effective operations and maintain organized records.
  • Cafe Barista / Assistant Operation Manager

    Cafe Au Lait · 2008 — 2012
    Assisted in café operations, providing customer service and supporting day-to-day management.
  • Administrative Assistant or Medical Secretary

    Jose Antonio Rivera Neurosurgery Clinic · 2007 — 2012
    Aided doctors with office tasks, created billing statements, and managed patient scheduling. Compiled medical charts and maintained accurate records of patient interactions, preparing documents for staff as needed.

Skills & Expertise

Education

  • Bachelor of Commerce (Accountancy)
    East Central Colleges · — — 2013

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