Versatile Revenue Cycle professional with 10 years of experience in U.S. Healthcare RCM, specializing in medical billing, accounts receivable follow-up, and denial management for both professional and facility claims. Skilled in end-to-end claims processing, including charge entry, coding validation, claim submission, payment posting, denial analysis, appeals, and insurance follow-up. Expert in interpreting EOBs/ERAs, researching payer policies, and identifying root causes to reduce denials and improve first-pass resolution rates. Strong knowledge of medical terminology, CPT/ICD-10, and payer-specific rules. Recognized for accuracy, analytical problem-solving, and the ability to handle high-volume claim environments while maintaining full HIPAA compliance. Proven track record of enhancing reimbursement outcomes and strengthening overall revenue cycle performance.
