SULPICIO C.
Mid-Level Medical Biller
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Sulpicio C. is an experienced Medical Biller specializing in the healthcare industry, with a strong command of the full revenue cycle, including eligibility verification, payment posting, and denial resolution. Through roles at Andala Billing Services, Sulpicio prepared and submitted insurance claims, tracked accounts receivable, and addressed denied or rejected claims using insurance verification and prior authorization expertise. His proficiency extends to working with HMO, PPO, EPO, and POS insurance types, and he is well-versed in compliance with industry regulations such as HIPAA. Sulpicio utilizes systems like EHR/EMR (eCW, Athena), payer portals, and tools including Microsoft Word, Excel, and Google Sheets to manage billing activities. In addition, as a Healthcare CSR for Teleperformance, he supported providers and patients by resolving coverage and billing issues, further strengthening his background in medical billing and insurance processes.
Experience
Medical Biller
Andala Billing Services · 2019 — 2024Prepared and submitted claims to insurance companies and other payers. Monitored the status of claims for timely processing and payment. Addressed denied or rejected claims by correcting errors and resubmitting or appealing as necessary. Accurately posted insurance and patient payments, including adjustments, write-offs, and contractual allowances. Reconciled payments with Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA). Investigated and resolved billing discrepancies, underpayments, and claim issues. Tracked accounts receivable and aging balances, ensuring timely documentation of all billing activities in the system.Healthcare CSR
TeleperformanceManaged incoming calls from healthcare providers and patients, providing timely and professional assistance. Offered precise information regarding insurance benefits, eligibility, claims status, medications, prior authorizations, and navigation of portals. Addressed billing disputes, coverage inquiries, and service issues, ensuring a favorable experience for patients and providers. Maintained detailed records of interactions in internal systems for tracking and reporting purposes. Collaborated with internal teams and provider offices to improve workflows and resolve issues effectively.
Skills & Expertise
Education
- Vocational GraduateERMC · 2001 — Present
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