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Shandy M. — Senior Medical Billing & Claims Specialist from Philippines

Shandy M.

Senior Medical Billing & Claims Specialist

Philippines 6+ years 1800 - 2000 USD per month
Open to offersNew to Platform
Languages
English
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About

Medical Virtual Assistant || Medical Biller || Insurance Verification & Authorization || Medical Front Desk 


HIPAA Certified

8+ years of U.S. healthcare Revenue Cycle Management experience.


Specializing in Behavioral Health, Psychiatric & Mental Health, Physical Therapy, and Weight Loss Clinics


I’m a reliable and highly skilled Medical Virtual Assistant and Medical Biller with over 8 years of hands-on experience supporting leading healthcare providers and insurance carriers across the U.S. My expertise spans the full scope of Revenue Cycle Management, Insurance Verification, Prior Authorization, Medical Billing, Claims Denial Handling, and Patient Coordination, with a strong focus on Behavioral Health, Psychiatric & Mental Health, Weight Loss, and Physical Therapy practices.


Software & Tools Expertise:

AdvancedMD | Central Reach | Raintree | DrChrono | AlohaABA | OfficeAlly | eClinicalWorks (ECW) | Availity | Emdeon | Waystar | Insurance Portal | Hi Rasmus | IntakeQ | Google Suite | Microsoft Teams & Outlook | Remote Desktop | and more


I’m committed to helping businesses thrive by delivering reliable and efficient support. Whether you need assistance with administrative tasks, customer service, or creative projects, I’m ready to contribute.


I’m looking for long-term opportunities where I can add value and grow alongside a progressive and visionary team. Let’s connect and explore how I can help move your business forward!


Contact | [email protected]

Experience

  • Medical Biller/Virtual Assistant

    BruntWork · 2022 — 2026
    Responsible for insurance verification and the management of claims processing. This involves verifying patients' insurance coverage through phone calls or online portals and updating their demographic information in the system. Assisted patients with payment arrangements for non-covered services and managed the coordination of benefits across multiple payors.
  • Insurance Verification/ Claims Specialist

    Optum Global Solutions · 2018 — 2022
    Involved in denial management which includes reviewing and resolving claims through investigation and negotiation. Ensured accuracy by verifying encoded claim information in the system. Handled outstanding claims and managed overpayments or adjustments, while collecting funds for maximum reimbursement encompassing insurance and patient balances.

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