Healthcare Revenue Cycle professional with 5 years of combined experience, including 3 years as an Account Receivable specialist and 2 years as an Appeals Specialist. Experienced in analyzing EOBs/ERAs, resolving underpayments and denials, managing aging claims, sending medical records and appeals, and ensuring timely follow-ups in compliance with payer guidelines. Proven ability to maintain PHI confidentiality and comply with HIPAA, payer guidelines and internal compliance standards. Highly proficient in ACE system, Epic, Xifin and Meditech for end to end AR management, payment posting, denial resolution and appeals processing. Knowledge of working Availity, VI Web and multiple insurance/IPA portals for eligibility verification, check claim status, authorization and appeals submission.
Verified
