Experienced and results-driven healthcare professional with 15 years of progressive expertise in the US healthcare industry, specializing in revenue cycle management, medical billing, and accounts receivable operations. A nursing graduate by education, I currently serve as a Home-Based Medical Billing Manager, leveraging a comprehensive background in both the provider and payer sides of healthcare.
Previously a Senior Accounts Receivable Team Leader with Optum360 – Physician Revenue Cycle, I have successfully managed end-to-end AR processes, including charge entry, payment posting, denial management, appeals and grievances, coding, quality audits, and training. My deep understanding of US insurance policies, referral processes, prior authorizations, and clinical review procedures has supported optimal billing performance and compliance outcomes.
I am highly proficient with multiple EMR systems and billing platforms including EPIC, ECW, Athena, WRS, CareTracker, Zirmed, Navinet, Emdeon, Availity, and more. I have supported a wide network of hospitals and clinics across the US, including South Shore Hospital and Boston Medical Center.
Recognized for operational excellence, quality assurance, and leadership, I bring a hands-on, detail-oriented approach to healthcare administration, ensuring accurate reimbursement and efficient claims lifecycle management.