Detail-oriented and results-driven Medical Billing Specialist with over 6 years of experience in the US Healthcare Industry, including 2+ years focused on end-to-end Medical Billing. Proven expertise in Revenue Cycle Management (RCM), Accounts Receivable (AR) follow-up, Denial Management, and Appeals — ensuring accurate and timely claims processing for optimal reimbursement.
Comprehensive RCM Knowledge – Skilled in handling the full billing cycle: from insurance verification and claims submission to AR follow-up, denial resolution, and appeal processes.
Strong Understanding of Payers & Guidelines – Experienced with Medicare, Medicaid, and major private payers, including navigating payer-specific rules and documentation requirements.
Analytical & Efficient – Adept at identifying trends in denials and proactively implementing solutions to reduce rejections and accelerate cash flow.
Tech-Savvy & Adaptable – Proficient in using EHR/EMR and billing platforms like PMX3, TotalMD, and Advanced MD, with fast adaptability to new tools.
HIPAA-Compliant & Detail-Focused – Maintains strict confidentiality standards and ensures billing accuracy in line with compliance and coding guidelines.