Revenue Cycle Management Specialist | Medical Biller | Denial Management | Claims & AR
I am a Detail-oriented Revenue Cycle Management (RCM) Specialist with 2 years of experience handling full-cycle medical billing and claims management for US-based providers. I specialize in reducing denials, accelerating reimbursements, and ensuring payer compliance through accurate coding and proactive follow-ups.
> 98% Claim Accuracy – recognized for precision in billing and coding
> Skilled in Medicare, Medicaid, and Commercial Payers
> Proficient across multiple EHR/Billing platforms (DrChrono, Kareo, AdvancedMD, etc.)
> Proven ability to thrive in remote, fast-paced environments
CORE SKILLS:
1. Full Revenue Cycle Management (patient registration to final payment)
2. Insurance Eligibility & Benefits Verification
3. Claims Submission & Denial Management
4. ERA Payment Posting & Account Reconciliation
5. Prior Authorizations (via payer portals & calls)
6. CPT, ICD-10, and HCPCS Coding Compliance
7. HIPAA & Payer Rule Compliance
8. AR Follow-up & Collections
9. Patient Billing Support
KEY ACHIEVEMENTS:
~ Improved first-pass acceptance rates by ensuring accurate coding and proactive claim scrubbing.
~ Reduced claim denials & increased collections through strategic denial management and payer follow-ups.
~ Partnered with providers to ensure correct medical coding, minimizing rejections and delays.
~ Consistently maintained 98?curacy rate in claims processing.
~ Supported timely patient care by securing prior authorizations quickly.
WORK EXPERIENCE:
Revenue Cycle Management Specialist | Medical Biller
1. Managed end-to-end RCM process, ensuring smooth financial workflows.
2. Verified insurance coverage, coordinated benefits, and maintained accurate patient intake data.
3. Monitored claim lifecycle, resolved denials, rejections, and underpayments.
4. Posted ERA payments and reconciled patient ledgers with precision.
5. Addressed patient billing inquiries with professionalism and empathy.
TOOLS & PLATFORMS:
EHR & Billing Systems: DrChrono, Kareo, AdvancedMD, Athenahealth, Epic
Clearinghouses & Payer Portals: Availity, Change Healthcare
Communication Tools: Slack, Zoom, Google Workspace, MS Office
