Rianne

Experienced Medical Biller & AR Specialist

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Overview

Looking for full-time work (8 hours/day)

at $5.80/hour ($1,020.80/month)

Bachelors degree

Last Active

February 22nd, 2025 (4 days ago)

Member Since

September 25th, 2012

Profile Description

I am a detail-oriented Medical Biller and Accounts Receivable Specialist with over 3 years of experience in claims processing, denial resolution, and payment reconciliation, specifically supporting healthcare providers in Home Health, Mental & Behavioral Health, Physical Therapy, and Pain Management. I specialize in reducing AR days and maximizing collections while ensuring strict compliance with insurance regulations.
My expertise includes:
Claims submission and follow-up
Denial analysis and resolution
EMR/EHR platforms: SimplePractice, DrChrono, Tebra, Office Ally
Payer portals: Availity, NaviNet, Novitasphere, UHC
HIPAA compliance and revenue cycle management
Medicare & Medicaid billing
Commercial insurance billing (Aetna, Blue Cross Blue Shield, UnitedHealthcare)
Electronic Claims Submission (EDI)
Appeals & Reconsiderations
I take a proactive approach to revenue cycle optimization and have a proven track record of improving financial performance for healthcare providers. 
Let’s connect to discuss how I can support your business in managing your medical billing, accounts receivable, and overall revenue cycle! 
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Top Skills

Experience: 2 - 5 years

• Charge Entry: Accurately input patient and procedure details into billing systems to ensure proper claim generation. • Claims Processing: Submit clean claims to insurers through EMR/EHR systems like Office Ally, DrChrono, Tebra, and SimplePractice for timely reimbursements. • Accounts Receivable Follow-Up: Monitor and follow up on outstanding claims to reduce AR days and maximize collections. • Denial Resolution and Appeals: Investigate and resolve denied claims by managing appeals and ensuring accurate documentation. • Payment Posting: Record and reconcile payments from insurers and patients, ensuring proper account updates. • Revenue Cycle Optimization: Leverage payer portals such as Availity, NaviNet, Novitasphere, and UHC to streamline workflows and enhance efficiency. • HIPAA Compliance: Maintain confidentiality and adhere to regulatory standards in all billing and documentation processes. • Collaboration: Work closely with healthcare teams and insurers to address discrepancies and improve billing operations.

Other Skills

Experience: Less than 6 months

I’ve been using Google Docs for over 10 years, specializing in document creation, editing, and management for both personal and business needs. My expertise includes optimizing workflows, enhancing collaboration, and ensuring efficient document handling.

Followed up on denials, rejections, and no-response claims, identifying root causes and preparing effective appeals to ensure timely resolution and payment

Experience: 2 - 5 years

Experience: 1 - 2 years

Experience: Less than 6 months

I have extensive experience in calendar management, including scheduling appointments, coordinating meetings, and organizing events. I excel at optimizing calendars, managing time efficiently, and preventing scheduling conflicts to ensure smooth and productive operations.

Basic Information

Age
44
Gender
Female
Website
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Address
Davao, Davao del Sur
Tests Taken
IQ
Score:  104
DISC
Dominance: 20
Influence: 30
Steadiness: 20
Compliance: 30
English
C1(Advanced)
Government ID
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