EXPERIENCED MEDICAL BILLER I APPOINTMENT SETTER 

As an Appointment Setter for two years in a Medicare Campaign, my role involved reaching out to potential clients to discuss their Medicare options and schedule appointments with licensed agents. I managed high volumes of outbound calls, using scripts to introduce services, answer basic inquiries, and qualify leads based on specific criteria. My focus was on clear communication, maintaining professionalism, and building rapport to ensure a positive experience for the clients. I also tracked appointments, updated CRM systems, and ensured follow-ups were scheduled as needed. This role sharpened my time management, organization, and customer service skills, contributing to the overall success of the campaign.

I have four years of experience as a Medical Biller, specializing in managing the full revenue cycle for various healthcare providers. My expertise includes charge entry, claims submission, accounts receivable follow-up, denial management, and payment posting. I have worked with EMR/EHR systems such as Office Ally, Prompt, and Tebra, and payer portals like Availity and Navinet. I have successfully handled billing for specialties like Physical Therapy, Home Health, and Behavioral Health, ensuring accurate claims processing and maximizing reimbursement for providers.

I have four years of experience in Revenue Cycle Management (RCM), focusing on the full billing process, from charge entry to payment posting. I specialize in claims submission, accounts receivable follow-up, denial management, and appeals, ensuring efficient reimbursement for healthcare providers. With expertise in systems like Office Ally, Prompt, and Tebra, and payer portals such as Availity and Navinet, I handle diverse specialties, including Physical Therapy, Home Health, and Behavioral Health, ensuring accurate claims and streamlined revenue cycles for optimized financial outcomes.

As an Accounts Receivable specialist in medical billing, I was responsible for managing and tracking payments from insurance companies and patients. My primary tasks included following up on unpaid claims, resolving denials, and handling appeals to ensure timely reimbursement. I regularly communicated with insurance providers to investigate claim rejections, make adjustments, and verify coverage details. Additionally, I maintained the Accounts Receivable system, keeping it up to date with accurate payment records, and performed collections on aging accounts. My role required strong attention to detail, persistence, and the ability to resolve billing issues to optimize revenue for healthcare providers.

I was responsible for creating, updating, and managing various spreadsheets to organize and analyze data efficiently. I used formulas, functions, and formatting to automate calculations, track performance metrics, and generate reports. I also collaborated with teams by sharing and maintaining real-time updates in Google Sheets, ensuring data accuracy and consistency across projects. My tasks included data entry, sorting and filtering information, and generating charts to visualize data trends. This role required attention to detail, strong organizational skills, and proficiency in using Google Sheets to streamline workflows and present insights effectively.

As a Personal Assistant for two years, I provided comprehensive support to ensure the smooth running of daily activities for my employer. My responsibilities included managing schedules, organizing meetings, handling correspondence, and coordinating travel arrangements. I also took on tasks like data entry, research, and preparing reports, ensuring everything was handled efficiently and on time. My role required strong communication, attention to detail, and the ability to prioritize tasks effectively. By managing administrative duties and personal errands, I helped free up time and allowed my employer to focus on their more critical responsibilities.