Medical Biller/AR Specialist/ RCM Specialist

n my role as Accounts Receivable Specialist, I was responsible for managing the invoicing process, ensuring timely billing, and monitoring outstanding payments. I developed and maintained spreadsheets and databases to track customer accounts effectively. This meticulous approach allowed me to identify discrepancies promptly and address them with clients directly, thereby enhancing overall efficiency.

Prepare and submit claims to insurance companies and government payers electronically or manually. Monitor the status of submitted claims and follow up on any denied or rejected claims. Post payments received from insurance companies and patients into the billing system. Address patient inquiries regarding bills, payment options, and insurance coverage. Investigate and resolve claim denials and underpayments; submit appeals as necessary. Stay updated on healthcare regulations, billing guidelines, and coding updates to ensure compliance with laws like HIPAA. Generate financial reports to track billing metrics, such as days in accounts receivable and claim denial rates

I am a dedicated healthcare professional with extensive knowledge of HIPAA regulations and a strong commitment to ensuring the privacy and security of patient information. Experienced in implementing and monitoring compliance protocols, conducting staff training, and performing regular audits to identify areas for improvement. Adept at navigating complex regulatory requirements while fostering a confidentiality and ethical practice culture. Proven ability to collaborate with cross-functional teams to enhance compliance strategies and respond effectively to potential breaches. Seeking to leverage my expertise in HIPAA compliance to contribute to a healthcare organization’s commitment to safeguarding patient data.