Detail-oriented and patient-focused Healthcare Specialist with experience in medical billing, claims management, insurance verification, and patient coordination. Skilled in handling prior authorizations, denial management, and ensuring accurate claim submissions in compliance with Centers for Medicare & Medicaid Services (CMS) guidelines and Health Insurance Portability and Accountability Act (HIPAA) regulations.
Experienced in communicating with patients, providers, and insurance companies to resolve billing concerns, verify coverage, and ensure timely reimbursement. Strong knowledge of CPT, ICD-10, and payer policies with a proven ability to reduce denials and improve revenue cycle efficiency.
Highly organized, adaptable, and committed to delivering exceptional patient service while maintaining confidentiality and compliance standards.
