Results-driven Medical Billing and Accounts Receivable Specialist with a strong focus on achieving low A/R and bad debt for assigned payers. My primary responsibility is the efficient management of insurance collections, ensuring timely and accurate reimbursement. This involves proactive follow-up on open claims, meticulous documentation, and effective communication with insurance carriers to resolve claim discrepancies.
My expertise extends across the complete Revenue Cycle Management (RCM) spectrum, including:
- Charge Entry: Accurate and timely entry of medical service charges.
- Claim Submission: Ensuring clean and compliant claim submissions electronically.
- Payment Posting: Precise posting of insurance payments to patient accounts.
- Denial Management: Thorough analysis and effective resolution of denied and rejected claims.
- Patient Billing and Follow-up: Clear and timely communication regarding patient balances.
- Reporting and Analysis: Providing insights through data analysis to optimize revenue cycle performance.
I bring experience working with various EHR/EMR systems, including Tebra (previously Kareo), Dr. Chrono, Athena, Prompt, Office Ally, and Simple Practice. I am also proficient in navigating payer portals such as Availity, UHC, and Healthsun. My daily workflow incorporates the use of MS Office Suite (Teams, Outlook, etc.).
I am fully committed to maintaining HIPAA compliance in all my work to ensure the confidentiality and security of patient information. I am dedicated to maximizing your revenue, minimizing financial losses, and ensuring a smooth and efficient billing process.
