Medical Billing & Revenue Cycle Support Specialist | Denial Management & EDI Troubleshooting
Struggling to clear claim backlogs, resolve complex denials, or optimize your revenue cycle? I'VE GOT YOU COVERED!!
I am a detail-oriented Medical Billing & RCM Specialist dedicated to helping U.S. healthcare providers streamline billing operations, resolve stubborn claim rejections, and maintain a clean claims workflow.
KEY COMPETENCIES
- Front-End Verification: Eligibility & Benefit Verification, Prior Authorizations, COB Management
- Claims & RCM: End-to-End Billing, Daily Claims Queue Tracking, Payer Compliance (Medicare, Medicaid, and Commercial Plans)
- Denial Management: Root-Cause Denial Analysis, Appeals, Clearinghouse Rejections & EDI Troubleshooting
- Documentation: Precise Ledger Documentation, SOP & Portal Claims Guide Development
SYSTEM PROFICIENCY
- Practice Management: AdvancedMD (AMD), MicroMD, ChiroTouch, eClinicalWorks (Basic)
- Portals & Clearinghouses: Availity Essentials, Waystar, Medicare/Medicaid, Commercial Payer Portals
