Professional Summary

I’m a Medical Billing Specialist with around 4 years of hands-on experience in the complete Revenue Cycle Management (RCM) process. I have experience in charge creation, payment posting, denial management, claim follow-up, and AR management. My core expertise is as an AR Specialist, with a strong focus on reducing outstanding balances, resolving claim issues, and improving revenue collection. I’m detail-oriented, committed to accuracy, and experienced in handling the billing process from start to finish.

Job Responsibilities

Current Responsibilities

- Manage and follow up on outstanding AR accounts. - Analyze aging reports and prioritize high-value claims. - Handle claim denials, rejections, and underpayments. - Contact insurance payers for claim status and payment resolution. - Submit corrected claims and appeals when required. - Review EOBs/ERAs and identify payment discrepancies. - Maintain accurate follow-up notes and claim documentation. - Coordinate with billing and coding teams to resolve claim issues. - Focus on reducing AR days and improving collections.

Previous Responsibilities

- Managed the complete RCM process, including charge creation, payment posting, AR follow-up, and denial management. - Reviewed and resolved claim denials, rejections, and payment discrepancies. - Performed insurance follow-ups and worked on outstanding AR accounts. - Ensured accurate charge entry and payment posting according to payer guidelines. - Monitored team performance and supported staff in resolving complex billing issues. - Coordinated with billing and AR teams to improve workflow and collections. - Maintained quality, accuracy, and timely completion of daily RCM activities.

Specialties

Internal MedicinePediatricNephrologyPain ManagementLab and Cardiology

Skills

ARDenialsPayment PostingCharge Creation

Software

ECWEMdsAllscript VeradigmEpicSequelMed