Professional Summary

CPC-certified professional with over 3.5 years of experience in Revenue Cycle Management (RCM) and healthcare customer support. I currently work as an RCM Customer Support Manager at Hipp Health, helping healthcare practices resolve billing issues, optimize workflows, and improve revenue cycle performance. My expertise includes medical coding, claims management, denial resolution, payment posting, and AR follow-up across multiple specialties. I also have a Bachelor of Dental Surgery (BDS) degree and experience working with various healthcare platforms and EHR systems.

Job Responsibilities

Previous Responsibilities

Managed end-to-end Revenue Cycle Management (RCM), including eligibility verification, medical coding, charge entry, claim submission, payment posting, accounts receivable (AR) follow-up, and denial management. Coded medical encounters using ICD-10-CM, CPT, and HCPCS Level II across multiple specialties, including psychiatry, internal medicine, pediatrics, gynecology/obstetrics, wound care, and urgent care. Investigated claim denials and underpayments, prepared appeals, and submitted corrected claims to maximize reimbursement. Reviewed EOBs/ERAs, posted insurance and patient payments, and reconciled patient balances. Analyzed denial trends, AR aging, and coding accuracy to identify revenue cycle improvement opportunities. Collaborated with healthcare providers and administrative teams to resolve documentation gaps and ensure accurate, compliant billing. Supported healthcare clients with billing and payment issues, guided them on RCM workflows, and managed customer support tickets. Coordinated with engineering teams to report software bugs, track issues, and improve the client experience.

Specialties

PsychiatryInternal MedicineGynecology/Obstetrics (Gynae/OBS)PediatricsWound CareUrgent CareInfusion ProceduresVaccination Proceduresand Therapy Services.

Skills

Revenue Cycle Management (RCM) Medical Coding: ICD-10-CMCPTHCPCS Level II RCM Customer Support and Client Relationship Management Insurance Eligibility and Benefits Verification Charge Entry and Claim Submission Payment Posting and EOB/ERA Reconciliation Accounts Receivable (AR) Follow-up Denial Management and Appeals

Software

EHR/EMR Systems: EpicathenahealtheClinicalWorks (eCW)TebraDrChronoAdvancedMDNextGenClinicientExperityOpen Dental RCM & Billing: Hipp HealthWaystarAvailityInsurance Portals Customer Support & Communication: IntercomSlack Project Management & Documentation: LinearNotion AI & Productivity: ClaudeFathom