I have 2 year of experience working in medical billing as an outsourced specialist, where I gained hands-on expertise in end-to-end billing processes and practice support. My responsibilities included handling insurance claims from submission to follow-up, ensuring accuracy and compliance with payer requirements, and minimizing delays or denials. I regularly verified patient eligibility and benefits to confirm coverage before appointments or procedures, helping providers and patients avoid unexpected issues.
In addition, I was responsible for conducting both inbound and outbound calls to insurance companies, patients, and healthcare providers to resolve billing concerns, obtain necessary information, and ensure clear communication between all parties. I worked extensively on Accounts Receivable (AR) management, following up on unpaid claims and resubmitting corrected claims as needed to secure timely reimbursements. My role also involved appointment scheduling support, ensuring patients were properly accommodated while keeping billing records updated and aligned with services provided.
I handled prior authorizations for procedures, medications, and treatments, coordinating with insurance companies to secure approvals and prevent claim denials. When denials did occur, I performed detailed denial management tasks, analyzing reasons, preparing appeals, and taking corrective action to improve future claim acceptance rates. I also became familiar with medical coding basics, documentation requirements, and compliance standards to ensure accuracy across the billing cycle.
Through this experience, I developed strong organizational skills, attention to detail, and the ability to work efficiently in a fast-paced environment. I built a deep understanding of payer policies, claim workflows, and the importance of accurate, timely communication in the revenue cycle process. Overall, my background has equipped me to support healthcare providers by maximizing reimbursements, reducing errors, and ensuring smooth billing operations.
