Professional Summary
Revenue Cycle Management (RCM) Specialist with nearly 4 years of experience in U.S. healthcare revenue-cycle operations,
focused on accounts receivable (AR) follow-up, AR auditing, denial analysis, and claim resolution. Proven track record of
improving AR accuracy, identifying specialty-specific claim issues, and driving unresolved balances to resolution. Additional
hands-on experience with payment posting in AdvancedMD at CareOnn. Familiar with eClinicalWorks, AdvancedMD, Elation
Health, payer portals, and spreadsheet-based work queues.
focused on accounts receivable (AR) follow-up, AR auditing, denial analysis, and claim resolution. Proven track record of
improving AR accuracy, identifying specialty-specific claim issues, and driving unresolved balances to resolution. Additional
hands-on experience with payment posting in AdvancedMD at CareOnn. Familiar with eClinicalWorks, AdvancedMD, Elation
Health, payer portals, and spreadsheet-based work queues.
Job Responsibilities
Current Responsibilities
Manage follow-up on aged, outstanding, and unresolved insurance claims to ensure timely reimbursement.
• Analyze claim denials, investigate claim issues, and determine appropriate resolution actions.
• Review payer portals and claim statuses to identify issues and prioritize follow-up activities.
• Coordinate claim resubmissions, documentation requirements, and escalations to resolve outstanding AR.
• Maintain accurate AR tracking records and collaborate with internal teams to resolve account issues.
• Possess strong knowledge of payment posting and payment reconciliation in AdvancedMD.
Previous Responsibilities
Worked as an AR auditor, auditing AR accounts and follow-up activity to find unresolved balances, missed actions, and
opportunities to move claims toward resolution.
• Reviewed claim status, payer responses, denials, and supporting documentation to determine next steps on outstanding
accounts.
• Investigated aged receivables and followed up on pending, rejected, or denied claims via payer portals and account records.
• Checked account notes and work-queue updates for completeness and consistency to maintain accurate AR tracking.
• Coordinated claim correction, resubmission, and escalation to support reimbursement and reduce avoidable AR delays.