Professional Summary
Hi, I’m a Medical Billing and Revenue Cycle Management professional with 5 years of experience in hospital and behavioral health billing. My expertise includes insurance verification, claim submission, AR follow-ups, denial management, appeals, and payment posting. I also have strong hands-on experience with Medi-Cal and IEHP. Currently, I’m working as a Team Lead, focusing on improving billing accuracy, reducing denials, and maximizing revenue collections.
Job Responsibilities
Current Responsibilities
Currently working as a Team Lead in Revenue Cycle Management, overseeing daily billing operations, claim submissions, AR follow-ups, denial management, and payment posting. I monitor claim accuracy, resolve complex payer issues, manage aging AR, review billing performance, and support team members to ensure timely reimbursements and improved revenue collections. I also coordinate with providers and insurance companies to resolve billing discrepancies and maintain compliance with payer guidelines.
Previous Responsibilities
Handled end-to-end Revenue Cycle Management operations, including insurance eligibility and benefits verification, authorization checks, charge entry, claim submission, payment posting, AR follow-ups, denial management, and appeals. Worked on hospital and behavioral health billing, managed outstanding insurance claims, investigated claim rejections, resolved payer-related issues, and followed up with insurance companies to ensure timely reimbursements. Maintained billing accuracy, reduced claim denials, and supported clean claim submission while following payer guidelines and HIPAA compliance.