Experienced Healthcare Revenue Cycle professional with over 8 years of combined experience in Accounts Receivable (AR), medical billing, and health insurance processes. 5 years as an AR Specialist at Optum Global Solutions, managing 10–15 hospital facilities and handling full-cycle accounts receivable, including claims management, denial resolution, follow-ups, and financial reconciliation. Supported multiple specialties such as Cardiology, Radiology, Surgery, Pediatrics, Primary Care, and Mental Health. 3 months of billing experience with Desert Kidney Associates, assisting in charge entry, payment posting, and insurance verification.
3 years of experience in the health insurance sector, giving a strong understanding of payer policies, reimbursement guidelines, and benefits investigation. Proficient in major healthcare systems and clearinghouses including EPIC, Waystar, Availity, Cerner, and Noridian.
Skilled in working with commercial insurance, Medicare, and Medicaid plans, with a proven track record of improving claim accuracy and reducing denials.