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.