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.

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.

Specialties

Different

Skills

ARDenialsPayment Posting

Software

Advanced MDe Clinical work