Medical Accounts Receivable Specialist with experience supporting multiple U.S. hospital and facility clients through insurance follow-up, denial management, and revenue cycle operations.
Currently responsible for Accounts Receivable follow-up for Bronson Methodist Hospital, Bronson Battle Creek Hospital, Bronson South Haven Hospital, and LakeView Hospital. Previously supported Flagler Hospital, Crozer Health, and Montefiore Health System accounts.
Experienced in resolving Commercial, Managed Medicare, and Managed Medicaid claims by investigating denied, rejected, partially paid, and underpaid accounts. Skilled in working aging receivables (30/60/90/120+ days), reviewing EOBs and ERAs, identifying denial root causes, and resolving issues related to medical necessity, prior authorization, coordination of benefits (COB), timely filing, coding, and payer-specific requirements.
Daily responsibilities include insurance follow-up through phone and payer portals, submitting corrected claims, reconsiderations, and appeals, and collaborating with billing and coding teams to maximize reimbursement and reduce outstanding AR.
Proficient in Epic, Cerner, MPower, and multiple payer portals including Availity, NaviNet, UnitedHealthcare (UHC), UMR, Cigna, Meritain Health, WellCare, TRICARE, Meridian, Allied, Group Marketing Services, McLaren Health Plan, and ASR Health Benefits.
I am passionate about healthcare revenue cycle management and continuously strive to improve reimbursement outcomes, reduce denials, and support operational excellence.
I am open to opportunities in Medical AR Follow-Up, Denial Management, Revenue Cycle Management, and Healthcare Operations.
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