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Professional Summary

I am a Medical Billing Specialist with experience in Revenue Cycle Management, insurance claims, AR follow-up, denial management, eligibility verification, prior authorization, payment posting, and claims resolution. I have experience working with Medicare, Medicaid, and commercial insurance and supporting end-to-end billing processes.

Job Responsibilities

Previous Responsibilities

Handled end-to-end medical billing and RCM processes, including patient registration, insurance eligibility and benefits verification, charge entry, claims submission, payment posting, AR follow-up, denial management, and claim corrections/resubmissions. Followed up on unpaid and underpaid claims, reviewed EOBs/ERAs, prepared appeals, and resolved insurance and billing issues. Also supported prior authorization and provider credentialing activities, including payer enrollment, documentation, and follow-up with insurance companies.

Specialties

Primary CareInternal MedicineFamily MedicineBehavioral HealthNeurologyOphthalmologyDMEHome Healthand General Outpatient Services.

Skills

Medical Billing & RCM • Insurance Eligibility & Benefits Verification • Prior Authorization • Claims Submission • AR Follow-Up • Denial Management • Appeals & Resubmissions • Payment Posting • EOB/ERA Review • Medicare & Medicaid • Commercial Insurance • Patient Account Management • Provider Credentialing • Payer Enrollment • Claims Resolution • Documentation • Data Entry • Healthcare Administration