Dedicated and detail-oriented Healthcare Data Coordinator & Medical Billing Specialist with 6+ years of experience in medical billing, claims management, payment posting, and EMR/EHR systems. Skilled in working with various healthcare payers, including Medicare, Medicaid, and major commercial insurance providers. Proven ability to ensure claim accuracy, expedite reimbursements, and maintain compliance with HIPAA regulations. Adept at handling high-volume data entry with precision and efficiency. Seeking a role as a Medical Virtual Assistant or Medical Biller to deliver exceptional results and contribute to business growth.
CORE SKILLS
? Medical Billing & Claims Processing ? Medical, dental, and physical therapy claims
? Insurance Verification & Benefits Coordination ? Medicare, Medicaid, BCBS, UHC, Tricare, Aetna, Cigna, Humana
? Coding & Charge Entry ? CPT, ICD, HCPCS
? Payment Posting ? EOB & ERA management
? Claim Follow-Up & Denial Management
? EMR/EHR Systems ? SequelMed, Allscripts, eClinicalWorks
? Data Entry & Accuracy ? High-volume, error-free processing
? Medical Terminology ? Strong knowledge and usage
? Communication & Professionalism ? Active listening, client handling, and team coordination
PROFESSIONAL EXPERIENCE
Conduent ? Transaction Analyst | Oct 2016 ? May 2018
? Processed medical and dental claims, ensuring accuracy in billing and coding.
? Reviewed and interpreted Explanation of Benefits (EOBs) for correct payment posting.
? Computed billing amounts and entered data into Rumba Tool with 100% accuracy.
PmaxGlobal ? Data Entry Representative | Aug 2018 ? Jul 2022
? Created claims and performed charge entry using correct CPT and ICD codes.
? Posted payments from EOBs/ERAs and reconciled with patient accounts.
? Managed claims lifecycle, including payment follow-ups, resubmissions, and corrections.
? Coordinated with insurance providers for benefit verification and claim resolution.
? Worked extensively with Medicare, Medicaid, and major private insurers.
Accenture ? Associate Software Engineer
? Developed and maintained software applications, performed technical design, and resolved system bugs to improve functionality and performance.
? Worked closely with cross-functional teams to deliver efficient and reliable software solutions for various business needs.
CT GLOBAL FREIGHT VERIFICATION INCORPORATION - (LOGISTICS ) FREIGHT AUDITOR l November 25,2025 - up to now
? Enter invoice details accurately into the system
? Audit invoices to ensure accuracy and compliance
? Approve and process invoices after successful audit
? Coordinate with the logistics team to verify shipment and billing details
Verified
