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MEDICAL BILLER & HEALTH PLAN CONTRACTING

Eula Sangalang
Riverside, CA

Seeking remote billing position for single or multi-specialty medical clinics needing billing services. Highly motivated and dedicated healthcare professional with over 15 years of experience in private practices and facility environments. Strong strategic thinker with a talent for analyzing problems and finding innovative solutions. Self-starter and a quick learner. Let me help you build your practice and maximize your revenue so you have focus on patient care.

Personal Skills

Experienced with working with small and large teams, as well as independently
Effective with time management and able to meet deadlines
Ability to multi-task and handle multiple projects
Excellent communication
Exceptional interpersonal skills
Highly organized and detailed orientated

Administrative Skills

Comprehensive knowledge of healthcare insurance
Verifying insurance benefits and eligibility
Prior -authorizations, Medicare LCDs, NCCI edits and global periods
Professional and facility credentialing and contracting
Proficient with professional billing and facility billing (ASC/outpatient)
Experienced with Anesthesia billing
Experienced with Behavioral Health
Familiar with CMS1500 and UB04 forms

REVENUE CYCLE MANGER
Contractor:
Flourish Well Family Therapy, Marriage and Family Therapy
2021 - Present
Patient scheduling management. Supervision of claims processing including: coding, claim submission, payment posting, denial management, appeals ands A/R management.

Wellspring Family Therapy, Marriage and Family Therapy
2021 - Present
Patient scheduling management. Supervision of claims processing including: coding, claim submission, payment posting, denial management, appeals ands A/R management.

REVENUE CYCLE MANAGER, CONTRACTING SPECIALIST
Precision Plastic Surgery/Precision Surgery Center, Plastic Surgery
Riverside, CA
2016 - 2023

Supervision of claims processing including: coding, claim submission, payment posting, denial management, appeals ands A/R management. Execute and negotiate professional and ancillary contracts, analyze counter offers, implement fee schedules and re-negotiate contracts as needed. Demonstrate clear knowledge of LCDs, NCCI edits and medical policies for surgical procedures. Superintend referrals, prior-authorizations and administrative operations. Develop and implement strategic plans to increase efficiency and best practices that guarantee organizational well-being.

FULL TIME MOTHER
2010 - 2016

OFFICE MANAGER, CONTRACTS
Health Essentials, Hospice
Las Vegas, NV
2009 - 2010

Develop and manage facility and vendor contracts. Facilitate IDT meetings between physicians, nursing, CNAs and administrative staff. Coordinate all administrative support and activities. Recruit, train and supervise office staff. Responsible for daily operations and implement company and employee goals. Conduct employee performance reviews and maintain HR requirements.

BILLING SPECIALIST, OFFICE MANAGER
GeriNet Medical Associates, Geriatrics
Santa Ana, CA
2006 - 2009

Managed hospice billing and collections. Track ER, hospitalization, acute, and SNF admissions and discharges. Generate daily census, weekly reports and monthly bed-days. Responsible for credentialing providers with contracted facilities.

Education

Saddleback Junior College
Associate in General Studies, Mission Viejo, CA
2004- 2007

University of Phoenix
Business Administration, Las Vegas, NV
2010

References available upon request.
  • Principals only. Recruiters, please don't contact this poster.

post id: 7877085341

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