Medical biller and AR Specialist /CAC and CPC-A

I can manage claims denials sending appeals following up for claims status. Checking reimbursement and verifying patient eligibility.

I have experience in Remote Patient Monitoring (RPM) billing and reimbursement, gained during my tenure with Rhythm Management Group. There, I managed billing processes for remote monitoring services, including ILR, PM, and CD devices. I am well-versed in Medicare guidelines, commercial insurance policies, and patient communication regarding billing processes for RPM services. This experience has equipped me with a strong understanding of reimbursement workflows for emerging healthcare technologies.

Throughout my career, I have successfully managed complex medical billing processes, ensuring accuracy and compliance with insurance policies, industry standards, and healthcare regulations. My in-depth understanding of medical coding, claim adjudication, and insurance verification has enabled me to efficiently resolve claim denials, optimize reimbursements, and enhance workflow efficiency. Achieving my CPC certification has further solidified my expertise in medical terminology, coding systems, and healthcare compliance, underscoring my commitment to maintaining the highest professional standards in the medical field.

With nine years of extensive experience in medical billing, denial management, insurance verification, accounts receivable, and authorization, I have developed a strong foundation in end-to-end revenue cycle management. My expertise includes optimizing reimbursement processes, reducing claim denials, and ensuring accurate and timely insurance verification and authorization. Achieving my Certified Professional Coder (CPC) certification in May 2024 has further enhanced my proficiency in coding accuracy, compliance, and revenue optimization, reflecting my dedication to excellence in healthcare billing operations and overall revenue cycle efficiency.

With nine years of hands-on experience in medical billing, denial management, insurance verification, accounts receivable, and authorization, I have maintained a steadfast commitment to ensuring compliance with HIPAA regulations. My expertise includes safeguarding sensitive patient information, implementing secure processes for data handling, and maintaining strict confidentiality standards throughout the revenue cycle. Achieving my Certified Professional Coder (CPC) certification in May 2024 has further reinforced my knowledge of healthcare compliance requirements, allowing me to uphold the highest standards of privacy and security in all aspects of healthcare billing operations.

With nine years of hands-on experience in medical billing, denial management, insurance verification, accounts receivable, and authorization, I have developed advanced expertise in identifying, analyzing, and resolving claim denials to ensure optimal reimbursement. My proficiency in root cause analysis, appeals processes, and compliance with payer policies has consistently reduced denial rates and improved cash flow. Achieving my Certified Professional Coder (CPC) certification in May 2024 has further enhanced my ability to address complex coding-related denials, demonstrating my commitment to excellence and efficiency in healthcare billing operations.

Throughout my career in the healthcare industry, I have developed a comprehensive understanding of ICD-10 coding and its critical role in healthcare operations. My expertise lies in accurately coding a wide range of medical diagnoses and procedures while ensuring strict compliance with payer policies and industry standards. Achieving my Certified Professional Coder (CPC) certification in May 2024 has further refined my skills in ICD-10, allowing me to enhance documentation accuracy, maximize reimbursements, and effectively minimize coding-related denials. This demonstrates my unwavering commitment to excellence in medical coding and revenue cycle management.

I have achieved my Certified Professional Coder (CPC) certification last MAY 2024 that further strengthened my technical knowledge and commitment to maintaining the highest professional standards.

As a Medical Biller and AR Specialist, I have gained extensive experience in various aspects of accounts receivables and the revenue cycle, including credentialing. In my previous role at Rhythm Management Group, I actively engaged in credentialing processes, such as verifying provider eligibility and facilitating discussions on becoming contracted with insurance payers. This hands-on involvement has strengthened my understanding of credentialing requirements and the essential steps to ensure seamless integration into payer networks, contributing to the efficiency and success of revenue cycle operations.