Wilfred L.
Junior Medical Biller
Open to offersNew to PlatformAbout
Wilfred L. is a proficient Medical Biller and Prior Authorization Specialist with over four years of experience in medical billing, insurance verification, and denial management. His career has been marked by roles at organizations such as Warren Dermatology & Mohs Surgery, Clinovation Corp., Southern Physical Therapy Clinic, and ADV Global, focusing on maximizing reimbursements and reducing claim denials while maintaining HIPAA compliance. In these roles, he has demonstrated expertise in processes like claims processing, payment posting, preparation of appeal documentation, and insurance follow-ups. He has significant experience with revenue cycle management and has contributed to streamlining workflows with the aim of improving authorization processes and ensuring efficient billing operations. Wilfred is based in Cagayan de Oro, Misamis Oriental, Philippines, and holds a certificate in Computer Programming from Informatics Computer Institute.
Experience
Insurance Verification Specialist
Southern Physical Therapy Clinic · 2025 — PresentConducted verification of insurance eligibility and benefits ahead of appointments while ensuring accurate insurance records. Streamlined the claims processing by validating insurance coverage and thoroughly reviewing benefits to minimize claim denials.Medical Biller
Warren Dermatology & Mohs Surgery · 2025 — PresentManaged the follow-up process for aging claims and verified patient insurance eligibility and benefits. Addressed rejected claims and discrepancies in billing while preparing appeal letters and drafting reconsideration requests for claim reprocessing.Prior Authorization Specialist
Clinovation Corp. · 2023 — 2024Handled the preparation of denial letters and appeal documentation while processing prior authorizations and claims data with precision. Coordinated with insurance payers to accelerate authorizations and reviewed medical records to ensure compliance.Medical Biller
ADV Global · 2022 — 2023Addressed denied claims by resubmitting corrected claims and ensured the accurate posting of patient payments. Reviewed Explanation of Benefits (EOBs) for billing accuracy and resolved billing issues to lower outstanding accounts.
Skills & Expertise
Education
- Certificate in Computer ProgrammingInformatics Computer Institute · 2016 — 2018
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