Ernest Anjelo M.

Greetings, I'm Ernest, a detail-oriented, tech-savvy Medical Insurance Biller, Data Entry Specialist, and Document Auditor experienced in medical billing, RTM billing, denial management, healthcare data auditing, and medical record verification. I specialize in reviewing claims, identifying billing discrepancies, documenting denial reasons, and maintaining accurate, organized, and compliant healthcare records. I have experience working with healthcare billing systems, EMRs, and lab information systems, including AdvancedMD, Prompt EMR, Athena Practice, OpenText EMR, LabDAQ, and PointClickCare, to support accurate billing workflows, claims review, lab order auditing, and patient record management. Specializations: ✅ Medical Insurance Billing & Claims Processing ✅ RTM Billing ✅ Denial Management & Claims Follow-Up ✅ EOB/ERA Review & Denial Documentation ✅ Lab Order Auditing & EMR Verification ✅ Data Entry & Accuracy Checking ✅ PDF Annotation & Document Review ✅ HIPAA-Compliant Handling of Patient Records ✅ Administrative & Virtual Assistant Support ✅ Digital File Management & Record Tracking ✅ Cross-Platform Data Reconciliation Tools & Systems: ✅ AdvancedMD ✅ Prompt EMR ✅ Athena Practice ✅ Availity ✅ LabDAQ ✅ OpenText EMR ✅ PointClickCare (PCC) ✅ Microsoft Excel & Google Sheets ✅ Google Workspace ✅ Dropbox & OneDrive Job Functions — You Can Count on Me For: ✅ Reviewing CPT and ICD-10-CM codes for billing accuracy ✅ Verifying diagnosis codes against documented clinical information and payer requirements ✅ Checking CPT-to-diagnosis code compatibility based on payer guidelines ✅ Identifying coding discrepancies that may affect claim submission or reimbursement ✅ Reviewing medical claims and identifying billing discrepancies ✅ Auditing RTM billing and documenting denial reasons ✅ Reviewing EOBs and ERAs to understand claim denial or payment issues ✅ Supporting claims follow-up, resubmissions, and accounts receivable workflows ✅ Auditing and validating medical and lab order data ✅ Reviewing patient records and verifying information across platforms ✅ Organizing and managing digital documents and files ✅ Supporting administrative operations and virtual assistance tasks ✅ Maintaining confidentiality, accuracy, and consistency across workflows Strengths: ✅ Excellent Typing Skills 55–60 WPM with high accuracy ✅ Strong Attention to Detail & Data Accuracy ✅ Analytical Thinking & Problem-Solving ✅ Strong Communication & Independent Work Ethic ✅ Adaptable & Resourceful, Quick to Learn New Tools and Systems ✅ Committed to Confidentiality and Accurate Documentation Let’s work together to keep your records clean, your workflow smooth, and your operations compliant. Thank you.