About the Candidate
KATLYN JOY ARLEGUI
Remote Medical Billing Specialist
[email protected] | 09218087589 | Based in the Philippines | Available for US Timezone Shifts
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SUMMARY
Detail-oriented and certified Medical Billing Specialist with over 5 years of experience in the US healthcare industry, specializing in insurance verification, prior authorizations, claims management, AR follow-up, payment posting, patient collections, and intake forms. Proven ability to reduce claim denials and streamline billing processes. HIPAA-compliant and experienced with multiple EMR/EHR systems.
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CORE SKILLS
• Medical Billing & Coding
• Insurance Verification (Medicare, Medicaid, Commercial)
• Prior Authorizations
• Denial Management & AR Follow-up
• Payment Posting & Patient Collections
• Intake Forms & Data Entry
• CPT/ICD-10 Familiarity
• EMR/EHR Systems: Epic, eClinicalWorks, Theranest, Abbadox, Fusion
• HIPAA Compliance
• Email & Calendar Management
• Excellent English Communication
• US Healthcare Systems Knowledge
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CERTIFICATIONS
• HIPAA Certification
• Medical Billing Certification
• Dental Billing Certification
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EXPERIENCE
Medical Virtual Assistant
MedVA – Remote
• Handled end-to-end insurance verification and prior authorizations.
• Conducted AR follow-up, identified coding issues, and resolved denied claims.
• Managed payment posting, patient collections, and intake forms.
• Maintained accurate billing records and corresponded with insurance carriers.
Medical Claims Analyst
Med-Metrix Inc. – Remote
• Performed AR analysis and followed up on unpaid claims across multiple payers.
• Collaborated with coding teams to ensure claim accuracy and compliance.
• Focused on revenue recovery for various clinics.
Customer Service Representative – US Healthcare Account
Hinduja Global Solutions
• Assisted providers with eligibility, benefits, prior authorizations, and claim inquiries.
• Managed large volumes of patient and insurance data with attention to accuracy.
• Worked in a fast-paced environment with strict KPIs and compliance metrics.
EDUCATION
Bachelor’s Degree in Tourism Management
University of Rizal System Angono, Rizal
2015-2019
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