Lea Quinones

75 Phase 1 C Kasiglahan Village, San Jose Roriguez, Rizal 1860 Skype ID: live:.cid.4fc334b354420cac/ Contact number: - Email Address:- LEA MARE C. QUIÑONES ABOUT I have been a Medical biller and billing assistant for over 3 years. I am well-rounded in the insurance verification process, claims submission, payment posting, and account receivable follow-up working with international medical billing providers. I can communicate effectively with clients, and insurance providers to confirm information for claim denials and insurance coverage status. I am efficient in using the provider's portals such as Availity, BS, Cigna, Navinet, Noridian, and more to confirm claim status. I have a background in using tools such as Office Ally, MDsynergy, Athena Health, Zendesk, and Salesforce. I have an experience in administrative duties that support clients, providers, and staff. EXPERIENCE Girit Consulting Firm, (California, USA)— Medical Biller Assistant March 2021 to March 2023 ● ● ● ● ● ● Submit claims Follow-up account receivables Call the insurance provider and follow up on denied claims Apply for payments from ERA Apply for payments from EOB Follow-up documents like medical records for denied claims Happier Living, (California, USA)— Medical Billing Specialist August 2020 to April 2021 ● ● ● ● ● ● ● ● Submit claims Call the insurance policy payer for the authorization code and eligibility status Update the Patient's information on Athena Follow-up account receivables Call the insurance provider and follow up on denied claims Update and Apply the patient's payment information and ERA. Apply EOB Follow-up documents like medical records for denied claims T-mobile USA, Davao City, Philippines— Team of Expert Representatives April 2016 to August 2020 ● ● ● ● ● ● ● ● Answer general questions about billing, network coverage, services, fees, and more Troubleshoot issues like network coverage of the device, device technical issues, and check ongoing issues on network coverage in the area Process sales, account activation, and change rate plan Checkpoints in billing to advise better rate plans that suit the customer Part of the retention team, we provide services beyond to keep the customer stay with T-mobile Tools: Internal System, Microsoft Office 365, GrandCentral Working Hours: 5:00 AM to 02:00 PM (Manila Time) Expedia INC, Teleperformance Philippines- Package Expert Service Representative January 2015 to March 2016 ● ● ● ● ● Book flights, hotel, and package reservations for customers Fixed flight schedule change, reschedule, cancellation Process schedule changes using the system as Saber and Amadeus Tools: Saber, Amadeus system, MS Team, Expedia Website, Microsoft Office Working Hours: 4:00 AM to 1:00 PM (Manila Time) EXPERTISE ● ● ● ● ● ● ● MICROSOFT OFFICE ORGANIZATIONAL SKILLS COMMUNICATION CUSTOMER SERVICE SKILLS ATTENTION TO DETAILS MEDICAL CODING-ICD 10 INSURANCE ELIGIBILITY VERIFICATION SOFTWARE EXPERTISE ● ● ● ● ● ● ● ● ● ● ● ATHENA OFFICE ALLY MYSYNERGY DRCHRONO PROVIDER’S PORTAL (AVAILITY, NAVINET, NORIDIAN, BLUECROSS, OPTUM, UHC…) SALESFORCE RING CENTRAL ZENDESK MICROSOFT OFFICE GSUITE CRM EDUCATION University of Mindanao, Davao City, Philippines— BS Social Work(Clinical Setting) From November 2017- August 2022 Relevant to the course: ● ● ● Studied Human Behavior and Personalities Case Work and Group Work Training Facilitator Skills for Training Southern Christian Accountancy College, Midsayap, North Cotabato, Philippines— BS From November 2009- August 2011(Undergraduate) Relevant to the course: ● ● ● Fundamental Accounting Financial Accounting Marketing Management AWARDS Dean’s Lister for 2nd Semester SY- Dean’s Lister for 1st Semester SY-