Healthcare RCM Specialist | Medical Billing | A/R | Insurance Verification | Team Lead
About Me
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I am a results-driven healthcare professional with 9+ years of experience in U.S. healthcare revenue cycle management, medical billing, accounts receivable, insurance verification, claims processing, quality assurance, and team leadership.
Throughout my career, I have supported healthcare organizations, hospital systems, and Ambulatory Surgery Centers with end-to-end revenue cycle operations. My experience includes patient registration, insurance verification, charge capture, claims submission, payment posting, A/R follow-up, denial management, appeals, reconciliation, and patient financial services.
I am highly detail-oriented and experienced in reviewing medical and billing records for accuracy, identifying missing or incorrect information, resolving discrepancies, and following up with the appropriate teams to prevent delays in billing and reimbursement.
I also have hands-on experience working with EMR/EHR systems, reviewing patient demographics and clinical documentation, verifying diagnosis and procedure information, and ensuring required authorizations, referrals, and medical records are complete before claims processing.
As a Team Lead and Trainer, I have supervised healthcare teams, monitored KPIs and SLAs, conducted quality audits, coached employees, developed training materials, handled escalations, and prepared operational reports for management and clients.
My Core Skills
Healthcare Revenue Cycle Management (RCM)
Medical Billing & Claims Processing
Accounts Receivable (A/R) Follow-Up
Denial Management & Appeals
Insurance Verification
Medicare, Medicaid & Commercial Insurance
Payment Posting & Reconciliation
Patient Billing & Financial Services
EMR/EHR Data Review
Referral & Authorization Verification
Medical Documentation Review
Quality Assurance & Auditing
Data Entry & Accuracy Checking
Aging Report Analysis
KPI & SLA Monitoring
Healthcare Team Leadership
Training & Employee Coaching
SOP Development
Process Improvement
Client & Stakeholder Communication
Back-Office Healthcare Support
What I Can Help Your Business With
I can provide reliable back-office healthcare support, including:
✔ Insurance eligibility and benefits verification
✔ Claims preparation, submission, and follow-up
✔ A/R follow-up and outstanding balance tracking
✔ Denial investigation and resolution
✔ Payment posting and reconciliation
✔ Patient account and billing review
✔ EMR/EHR data entry and record updates
✔ Referral, authorization, and documentation tracking
✔ Medical record and document organization
✔ Quality checking and auditing
✔ Spreadsheet tracking and reporting
✔ Administrative and virtual assistance
✔ Team coordination and workflow management
I am comfortable working independently, following established processes, protecting confidential information, and communicating clearly with clients, managers, healthcare teams, and other stakeholders.
If you are looking for someone who understands both healthcare operations and the importance of accuracy, compliance, productivity, and timely follow-up, I would be happy to support your team.
