Healthcare Accounts Receivable Specialist with 9+ years of experience resolving claims, reducing aging AR, and accelerating reimbursement across dental and medical billing operations.
I specialize in end-to-end AR follow-up — working aged claims, identifying denial trends before they become AR bottlenecks, and driving down days-in-AR through disciplined, systematic claim resolution. My background spans both dental billing (including specialty and behavioral health claims) and medical claims AR, with hands-on experience navigating Medicare and Medicaid payer portals, including Med-Cal (California Medicaid).
Core strengths:
- Aged AR analysis and prioritization (30/60/90/120+ day buckets)
- Claims denial management and root-cause resolution
- Payer portal navigation (Medicare, Medicaid, Med-Cal) for claim status, eligibility, and appeals-
- Payer follow-up (calls, portals, correspondence) to accelerate payment
- Appeals and reconsideration submissions
- EOB/ERA review and payment posting accuracy
- Dental billing (Open Dental) and medical claims workflows
- Provider credentialing support (CAQH, NPI Registry) that reduces AR delays caused by enrollment gaps
Platforms: Epic, Cerner, Athenahealth,NPPES/NPI Registry, Medicare/Medicaid Payer Portals, Med-Cal, Open Dental, Vyne and DentalXchange
I've worked across BPO and offshore RCM delivery models supporting U.S. healthcare providers, which means I understand both the operational pace clients need and the compliance standards (HIPAA) that come with handling patient financial data.
Currently seeking AR/Claims Specialist or Billing Manager roles in dental or medical billing where I can bring measurable reductions in outstanding AR and denial rates.
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