Medical Billing & AR Specialist | Revenue Cycle Management | Denial Management | Prior Authorization

I am a certified Medical Billing Specialist with 10+ years of hands-on experience in full-cycle revenue cycle management for healthcare providers. I help practices reduce claim denials, accelerate reimbursements, and keep their billing operations fully compliant so you can focus on patient care.

My core expertise includes:

Insurance verification & eligibility checks
Prior authorization coordination
Accurate medical coding & charge entry (ICD-10, CPT, HCPCS)
Claims submission & follow-up (EDI/paper)
Denial management, appeals & root cause analysis
Payment posting & patient billing
AR reporting, aging analysis & performance tracking

I am experienced with major EMR/EHR systems and billing clearinghouses. I take a proactive approach to denial prevention which identifying trends early and working with clinical teams to resolve documentation gaps before they become revenue losses.

Whether you need a dedicated full-time billing specialist or someone to clean up a backlogged AR, I bring reliability, attention to detail, and a results-driven mindset to every engagement.

What I've Done for Clients

Denial Reduction for a Private Clinic
Working with a solo physician practice that was struggling with a high volume of denied claims, I conducted a full audit of their denial patterns and identified the most common root causes in which including missing prior authorizations and coding mismatches. I restructured their claims review process, coordinated with the clinical team on documentation standards, and implemented a denial tracking system. Within a few months, the practice saw a 20–30% reduction in denial rates, freeing up significant recovered revenue that had previously been written off.

End-to-End Billing Support for a Solo Physician
I provided comprehensive revenue cycle management for a solo physician practice, handling everything from insurance verification and prior authorization to charge entry, claims submission, payment posting, and patient billing. Using Kareo as the practice management system and Office Ally / Availity for claims clearinghouse submission, I maintained a consistent billing workflow that kept AR days low and ensured claims went out clean the first time. The physician was able to focus entirely on patient care with full confidence that billing was handled accurately and on time.