Detail-oriented and results-driven Medical Biller, Patient Scheduler, and Operations Assistant with 6+ years of experience in healthcare administration, insurance verification, medical billing, revenue cycle management, patient coordination, and operational support across chiropractic, pediatric, mental health, and outpatient rehabilitation settings. Proven track record in improving claim accuracy, reducing denials, maintaining high compliance rates, and optimizing clinic workflow efficiency. Skilled in insurance verification, CPT/ICD-10 auditing, prior authorizations, patient scheduling, accounts receivable management, and administrative operations. Recognized for strong communication skills, problem-solving abilities, attention to detail, and delivering exceptional patient and provider support in fast-paced healthcare environments.
**SERVICES OFFERED **
*End-to-end Medical Billing & Revenue Cycle Management (RCM)
*Patient Scheduling & Care Coordination
*Insurance Verification & Prior Authorizations
*Patient Referral Management
*Electronic & Paper Claim Submission ( Commercial, Medicare, Medicaid)
*Denial Management, Appeals, and A/R Follow-ups
*Payment Posting,Reconciliation, and Financial Reporting
*Patient Billing Inquiries, Payment Plans , and Benefits Explanation (EOB)
*Administrative & Virtual Support for healthcare providers
*Compliance with HIPAA & Payer Specific Guidelines
*Administrative & Operations Support
* SOP Implementation & Workflow Improvement
*Payer Specific Guidelines
*CPT & ICD-10
*Calendar & Email Management
*Compliance & Plan of Care (POC ) Auditing
*Signed Progress & Initial Evaluation Notes Follow-up
**CORE SKILLS & EXPERTISE**
*Proficient in EHR/EMR Tools (Jane, Medisoft, Epic, Dr Chrono, Tebra, Simple Practice)
*Strong knowledge of CPT, ICD-10, and HCPCS coding principles
*Skilled in reducing claims denials and expediting reimbursement
*Experienced in working with high volume denied and rejected claims
*Excellent attention to detail, accuracy, and time management
*Strong communication skills for coordination with physicians, staff and patients
*Adaptable, results driven and committed to client success
