Riceelyn L.
Mid-Level Healthcare Billing Specialist
Open to offersNew to PlatformAbout
Riceelyn L. is a seasoned professional with over seven years of experience in the healthcare industry, particularly in roles related to medical billing and records management. Her expertise in managing Revenue Cycle Management (RCM) and Health Information Management (HIM) ensures meticulous handling of patient data and adherence to HIPAA compliance. As an Accounts Receivable Specialist at MicroSourcing, she played a crucial role in facilitating revenue flow for mental health services, streamlining insurance verification processes, and reducing claim denials. Prior to this, she excelled at MedMetrix Manila, where she specialized in hospital inpatient care, managing complex denial appeals and employing her technical skills with platforms like Epic and Kohezion. Her role at IQ Back Office further honed her capacities in claims management and pre-authorization for physical therapy services. Riceelyn holds a Bachelor of Science in Business Administration, majoring in Marketing Management, from Rizal Technological University.
Experience
ACCOUNTS RECEIVABLE SPECIALIST
IQ BACK OFFICE · 2024 — 2026Executed claims management by identifying and correcting accounts for portal-based appeals. Managed the pre-authorization process across multiple payer portals for physical therapy services. Conducted detailed ledger audits to accurately process patient and insurance refunds.ACCOUNTS RECEIVABLE SPECIALIST
MICROSOURCING · 2023 — 2024Verified mental health patient eligibility, benefits, deductibles, and co-pays prior to appointments to facilitate revenue flow. Conducted inbound and outbound calls to clarify insurance coverage and coordinate patient responsibilities. Reported inefficiencies to reduce claim denials and financial write-offs in a specialized clinical setting.MEDICAL DENIALS MANAGEMENT
MEDMETRIX MANILA · 2018 — 2023Managed complex appeal workflows within Epic, Kohezion, and various insurance portals. Wrote formal appeals and followed up with insurance carriers to resolve claims for hospital accounts. Used payer portals to monitor payment statuses and maintain high accuracy in high-value claims processing. Served in the HIM back-end department, performing quality checks and extracting medical records to ensure data integrity and compliance.WAREHOUSE STAFF/CHECKER
Warehouse Staff - Regent Foods Corp. · 2019 — 2019Oversaw inventory control, including receiving, sorting, and labeling goods. Ensured accuracy in shipment processing and order fulfillment for customer accounts.SALES SUPPORT ADMIN
True Money Philippines, Inc. · 2017 — 2018Oversaw inventory control, handling the receiving, sorting, and labeling of goods. Maintained accuracy in shipment processing and fulfilled orders for customer accounts.
Skills & Expertise
Education
- Bachelor of Science in Business Administration Major in Marketing-ManagementRizal Technological University · 2013 — 2017