mugas.demimarice

Medical Coder / Biller / Administrative Assistant
November 5, 1996

About Candidate

Location

Education

B
BACHELOR OF SCIENCE IN TOURISM MANAGEMENT June 2013 - March 2017
St. Mary’s College of Tagum, Davao del Norte, Philippines

Work & Experience

M
MEDICAL CODER / BILLER / ADMINISTRATIVE ASSISTANT July 27, 2020 - October 12, 2026
EMIRATI CANADIAN HOME HEALTHCARE SERVICES

• Reading and analyzing patient medical records.
• Review and assign accurate ICD-10-CM, CPT, HCPCS and other applicable codes based on documented diagnoses, treatment and procedures.
• Submitting documents for pre- authorization, renewals and justifications to insurance company.
• Registering patient information in the system.
• Billing process, submission, and resubmission.
• IFHAS Screening and Outpatient Physiotherapy billing process.
• Attending Audits (DOH, Daman, ACI, and Tasneef).
• Interacting with physicians and Clinical Team (Nurses, and Therapist) to ensure accuracy of the reports.
• Maintaining patient confidentiality and information security.
• Sending approvals and rejections to physician or clinical teams.
• Preparing the required documents or justifications needed for submission renewal and new patients.
• Reviewing the Electronic Medical Records or EMR documentation of the physician, nurses, and therapists for accurate codes to be assigned in the billing.
• Conduct regular audits of patient charts, review medical documentation for missing information, and resolve discrepancies with clinical staff.
• Reception Reliever
- Answer telephone calls, emails, and guest inquiries promptly and professionally.
- Welcoming guests at the front desk and guiding them to their destination.
- Assisting in administrative tasks such as data entry, organizing files, photocopying, and scanning.
- Tracking inventory, buying office stationery, and restocking office supplies.
- Assisting with invoicing, tracking petty cash, and recording basic office expenses.
• Medical Records Reliever
- Preparing the monthly forms, supplies and required documents of each patient.
- Collecting, filing, sorting, organizing and uploading medical documents for patient records.
- Retrieve records and send files to requested departments.

M
MEDICAL CODER / BILLER / DATA ENTRY SUPERVISOR (PCR AND VACCINATION PROJECTS) July 27, 2026 - August 31, 2022
ROYAL HEALTH GROUP

• Registering patient information in the system.
• Accurate data entry as per the vaccine brand, lot number and accurate date and time of vaccine that was given to the patient.
• Assign ICD-10 codes and CPT codes for documentation and submission.
• Prepare and submit all the Emirates ID and medical documents to the insurance company for billing purposes.
• Billing process, submission, and resubmission.
• Remittance download, reconciliation and processing the rejected claims.
• Lead, supervise, and coordinate the daily activities of the teams.
• Conducting an interview and provide guidance or training to new members of the PCR and Vaccination teams.

T
TRAVEL CONSULTANT September 27, 2017 - December 31, 2019
ZARA’S TRAVEL AND TOURS, Tagum City, Philippines

• Organizing flights (both local and international), travel insurance and accommodation.
• Collecting and processing payments: cash, checks and credit cards.
• Assist clients in acquiring passports and visas.
• Keeping clients promptly informed of any changes and offering suitable alternatives when appropriate.
• Respond to phone inquiries and walk-ins.
• Preparing promotional materials and displays.
• Dealing with customer inquiries and complaints in a calm and diplomatic manner.
• Quoting tour packages and converting these to bookings.