Highly skilled and certified Medical Billing Specialist with over 3 years of professional experience in the end-to-end revenue cycle management for various specialties. Proven ability to ensure compliance with HIPAA, healthcare regulations, and insurance policies.
My expertise lies in maximizing reimbursement and minimizing claim rejections through diligent follow-up and correction processes, demonstrated by achieving a 98% claim accuracy rate and reducing claim rejections by 25% through meticulous coding error identification.
Core Competencies & Technical Proficiency:
Claims Processing: Proficiently processing and submitting claims to Medicare, Medicaid, and commercial payers.
Compliance & Coding: Expert knowledge of ICD-10, CPT, and medical terminologies. Certified in HIPAA Compliance.
A/R Management: Skilled in verifying patient eligibility, securing prior authorizations, posting payments, reconciling accounts, and managing denied/unpaid claims.
Billing Software: Extensive experience with industry-leading platforms, including Kareo, AdvancedMD, eClinicalWorks, Medi EHR, Office Ally, and Simple Practice.
Clearinghouses/Coding Tools: Familiar with Change Healthcare, Optum, and coding software like EncoderPro and SuperCoder.
Seeking a challenging role where I can leverage my expertise in claims management and detailed reporting to drive financial efficiency and operational success.
