With over 6 years of experience in U.S. healthcare operations and end-to-end Revenue Cycle Management (RCM), I am a results-driven healthcare professional specializing in Medical Billing, Medical Coding, Claims Processing, Charge Auditing, Insurance Verification, Prior Authorization, Accounts Receivable (AR), Denial Management, Revenue Integrity, Clinical Documentation Review, and Patient Coordination.
My experience spans both front-end and back-end RCM, including eligibility and benefits verification, authorization, claims submission and follow-up, rejection and denial resolution, appeals, reimbursement recovery, payer communication, and documentation review. I have worked with Medicare, Medicaid, commercial insurance, Workers’ Compensation, and Auto Insurance.
I have experience with inpatient and outpatient coding across multiple specialties, including Radiology, Cardiology, Surgery, Emergency Medicine, Internal Medicine, Pediatrics, Behavioral Health/Psychiatry, Wound Care, Sleep Medicine, Infusion, Hydration, and Injection services. My coding and revenue integrity experience includes ICD-10-CM, CPT, HCPCS Level II, NCCI edits, modifiers, payer-specific guidelines, charge validation, and pre-bill auditing.
I also have hands-on experience supporting DME, HME, and Home Health workflows, including DME claims, Home Health authorization, insurance verification, documentation review, reimbursement, and provider coordination.
My healthcare technology experience includes Epic, 3M Coding, Meditech, Trisus Craneware, AdvancedMD, DME Scripts, Allscripts, Go Scripts, Bloom Health, Parachute Health, Brightree, WellSky, and SwyftOps, along with payer portals such as Availity and TevixMD for eligibility, claims, follow-up, and appeals.
Beyond RCM, I bring strong patient and client communication, provider coordination, data analysis, quality assurance, workflow optimization, SOP development, and cross-functional collaboration skills. I am highly organized, analytical, detail-oriented, proactive, adaptable, and comfortable managing high-volume remote workflows independently.
I am open to full-time remote opportunities with U.S. healthcare organizations, medical practices, telehealth companies, DME/HME providers, Home Health agencies, and other healthcare businesses where I can contribute my expertise across RCM, billing, coding, claims, authorization, denials, and healthcare operations.
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