"I don’t just submit claims; I ensure healthcare providers are paid what they deserve for the care they provide.”
Results-driven Medical Billing Specialist with over 2 years of experience in high-volume Revenue Cycle Management (RCM) across diverse specialties, including Mental and Behavioral Health, ABA Therapy, Physical Therapy, Pain Management, Home Care and Dermatology Practices. Proven track record of optimizing cash flow, maintaining a 96%+ first-pass clean claim rate, reducing claim denials and accelerating reimbursement.
I perform deep-dive root-cause analysis on denials to stop revenue leakage at the source. Whether it’s drafting a winning clinical appeal or navigating the complexities of payer portals like Availity, Optum/Change Healthcare and Medicare/Medicaid Portals (DDE/FISS), my goal is to reduce DSO (Days Sales Outstanding) and maximize practice profitability.
Core Competencies
• Full-Cycle Billing: Charge Entry, Claims Submission, Payment Posting.
• Denial Management: EOB/ERA analysis, appeal drafting, and root-cause resolution.
• A/R Recovery: Strategic follow-up on unpaid claims and insurance portal investigations.
• Compliance: HIPAA regulations, ICD-10/CPT coding accuracy, and practice guidelines.
Technical Proficiency
EHR/EMR Systems: Tebra (Kareo), Simple Practice, Therapy Appointment, AdvancedMD, ATHENA, ClaimShuttle, DrChrono, eClinicalWorks and Office Ally
Key Responsibilities
• A/R Optimization: Analyzed aged Accounts Receivable reports to identify and recover unpaid claims, ensuring consistent cash flow.
• Denial Resolution: Investigated rejections and denials via insurance portals; prepared and submitted formal appeals and necessary clinical documentation.
• Claims Maintenance: Corrected and resubmitted unprocessed or returned claims; researched missing information to ensure timely filing.
• Stakeholder Communication: Acted as a primary point of contact for insurance companies and patients to resolve billing discrepancies and execute collection activities.
I am a medical biller and HIPAA-certified looking to connect with RCM leaders and healthcare administrators who value precision and proactive financial management. Let’s connect!"
Availability; Requirements
• Role Type: Remote / Home-based
• Commitment: 40 hours per week (Monday – Friday)
• Status: HIPAA Trained; Certified
