Dedicated and detail-oriented Medical Biller and Audit Assistant with over five years of experience in Revenue Cycle Management, Claims Denial Management, and Accounts Receivable, with a specialized focus on outpatient mental health billing. Proven ability to manage end-to-end claims processes while supporting healthcare providers in optimizing revenue recovery and maintaining regulatory compliance.
Experienced in handling specific medical billing projects and rendering providers, demonstrating adaptability to diverse billing requirements. Skilled in eligibility verification, EOB analysis, accurate claim resubmissions, and conducting patient payment discussions. Adept at managing prior authorization requests and securing timely approvals to prevent claim delays.
Proficient in EMRs and platforms including Epic, ACE, Navinet, Office Ally, Availity, and Carelon portals. Utilizes these tools effectively for claim submissions, eligibility checks, and reviewing patient records to validate billing accuracy.
Handles claims for major insurance payers including UHC, Cigna Behavioral, Carelon, CareFirst, and various Medicaid programs. Actively involved in AR collections, denial management, and payment reconciliation to ensure accurate financial records and prompt reimbursements.
Experienced in auditing patient charts, reconciling payments, resolving discrepancies, and streamlining billing workflows. Committed to delivering excellent service, accurate results, and supporting mental health providers through every phase of the revenue cycle.
