RONA VIE B. VENZUELA

[email protected] • 0950 699 6065 • Blk 8, Lot 9 Brgy. Luzviminda II ext., Dasmariñas City, Cavite

PROFESSIONAL SUMMARY

Medical Billing Specialist with 3+ years of experience managing end-to-end Revenue Cycle Management (RCM) processes. Proven expertise in claims submission, insurance verification, payment posting, AR follow-up, and denial management for Medicare Part B, Medicaid, and commercial insurance. Strong working knowledge of ICD-10-CM, CPT, HIPAA, and payer-specific requirements. Highly proficient in Office Ally, eClinicalWorks (eCW), EMR/EHR systems, and EDI workflows, with a track record of improving reimbursement turnaround and reducing claim denials.

WORK EXPERIENCE

Medical Billing Specialist

03/2022 - Present

Vector Outsourcing Solutions Philippines , Mandaluyong City

• Handle end-to-end medical billing, including insurance verification, clean claim submission (Office Ally), payment posting, and account resolution

• Perform AR follow-ups and resolve denials using ICD-10-CM/CPT knowledge across Medicare, Medicaid, and commercial payers

• Utilize eClinicalWorks (eCW) and EMR/EHR systems while ensuring HIPAA compliance and coordinating with providers and payers

Merchandiser Assistant

06/2019 - 01/2021

SEIN TOGETHER INTERNATIONAL PHILIPPINES INC. , PEZA, Rosario, Cavite

• Executed planograms and maintained visual merchandising standards to maximize product visibility.

• Liaised with sales, logistics, and suppliers on purchase orders, deliveries, and returns.

Human Resource Generalist

08/2018 - 04/2019

SOUTHERN LUZON COLLEGE — AMAES , Dasmariñas, Cavite

• Managed end-to-end recruitment, onboarding, and offboarding for faculty and staff; prepared contracts, processed pre-employment requirements, and facilitated exit clearances.

• Maintained accurate employee records and HRIS data; ensured compliance with DOLE regulations and school policies.

EDUCATION

BACHELOR OF SCIENCE IN PSYCHOLOGY

06/2014 - 06/2018

CAVITE STATE UNIVERSITY – SILANG CAMPUS , BIGA I, SILANG CAVITE

SKILLS

Technical Skills: End-to-End Medical Billing & Revenue Cycle Management (RCM), Claims Submission, Tracking, and Follow-Up, Insurance Verification & Eligibility (Medicare, Medicaid, Commercial), Payment Posting & EOB Review, Accounts Receivable (AR) Follow-Up, Denial Management & Appeals Resolution, ICD-10-CM & CPT Coding Review, HIPAA Compliance, EMR / EHR Systems, Office Ally, eClinicalWorks (eCW), Electronic Data Interchange (EDI), Clearinghouses & Payer Portals

Soft Skills: Adaptability and flexibility, Time management, Attention to detail, Reliability and accountability