RCM / Insurance Verification Specialist | BCBS MN Experience | Healthcare Billing Support

Healthcare professional with hands-on experience in Revenue Cycle Management (RCM), insurance verification, and collections within a high-volume BPO healthcare environment (BCBS MN account). Experienced in handling commercial, Medicaid, and state-funded insurance plans with strong knowledge of eligibility, benefits verification, and payer guidelines. Skilled in resolving billing-related inquiries, managing financial responsibility details, and supporting end-to-end revenue cycle processes including collections and account follow-ups. Detail-oriented, efficient, and able to work independently in fast-paced, KPI-driven environments.

CORE SKILLS
-Insurance Eligibility & Benefits Verification (Commercial, Medicaid, State Plans)
-Revenue Cycle Management (RCM) Support
-Medical Collections & Accounts Follow-Up
-Patient Financial Responsibility (Copay, Deductible, Coinsurance)
-Insurance Web Portals Navigation
-Claim Support & Basic Denials Handling
-Healthcare Customer Service (Payer-side experience)
-Data Entry & Documentation Accuracy
-HIPAA Compliance Awareness
-Google Workspace & MS Office

EXPERIENCE HIGHLIGHTS
- Handled insurance verification and member eligibility through BCBS MN payer systems and portals
- Supported revenue cycle workflows including coverage validation and financial responsibility breakdown
- Managed insurance-related inquiries and assisted in resolving billing and coverage concerns
- Experienced in collections support processes and account status updates in healthcare setting
- Worked with Medicaid and state-funded insurance programs alongside commercial plans
- Maintained accurate documentation in CRM and internal tracking systems under strict deadlines

TECHNICAL TOOLS
-Insurance Web Portals (payer systems)
-CRM / Healthcare support tools
Microsoft Excel, Word, Outlook
-Google Sheets, Google Drive, Google Docs,Email management systems

STRENGTHS
-Fast learner with ability to adapt to new healthcare systems and workflows
-Strong attention to detail in financial and insurance data
-Comfortable handling sensitive patient information
-Reliable in KPI-driven and high-volume environments