I am a detail-oriented and results-driven Medical Biller with one year of hands-on experience in the healthcare revenue cycle. I have developed a strong understanding of medical billing processes, insurance verification, claims management, and payer requirements for both Medicare and Medicaid/Medi-Cal. My goal is to ensure accurate claim submission, timely reimbursements, and efficient resolution of billing issues while maintaining compliance with healthcare regulations.
In my current role, I perform eligibility verification for Medicare and Medicaid/Medi-Cal patients, process pre-authorizations, submit medical claims, monitor claim status, follow up with insurance providers, and prepare appeals for denied or underpaid claims. I also have experience with ancillary coding, cash posting, payer tree setup, and preparing admission packets. My attention to detail and problem-solving skills enable me to identify billing discrepancies, minimize claim denials, and support a smooth revenue cycle.
I am proficient in a variety of industry-standard medical billing platforms and insurance portals, including PCC, Waystar, Availity, DHCS, SCFHP Portal, WPS, Noridian, and the Alameda Portal. I also have strong experience using Google Sheets, Microsoft Excel, and other productivity tools to manage billing data, track claims, and generate reports efficiently.
In addition to my medical billing experience, I have an undergraduate background in Accounting Technology and several years of customer service experience. Working in customer-facing roles has strengthened my communication, problem-solving, and interpersonal skills, allowing me to effectively assist clients, resolve concerns, and maintain positive professional relationships. These skills complement my medical billing expertise by enabling me to communicate effectively with insurance representatives, healthcare providers, and tea-----------mbers while delivering accurate and timely results.
I am committed to continuous learning and take pride in producing high-quality work with professionalism, integrity, and attention to detail. I thrive in remote work environments and am eager to contribute my knowledge and dedication to a healthcare organization focused on delivering exceptional patient care and operational excellence.
Core Skills:
Medical Billing & Revenue Cycle Management
Medicare & Medicaid/Medi-Cal Eligibility Verification
Pre-Authorization Processing
Medical Claims Submission & Claims Monitoring
Insurance Claims Follow-Up
Appeals & Denial Management
Cash Posting
Ancillary Coding
Payer Tree Setup
Admission Packet Preparation
Revenue Cycle Documentation
PCC, Waystar, Availity
DHCS, SCFHP Portal, WPS, Noridian, Alameda Portal
Google Sheets & Microsoft Excel
Customer Service & Client Relations
Data Accuracy & Quality Assurance
Time Management & Problem Solving
Strong Communication & Team Collaboration
I am actively seeking remote Medical Billing opportunities where I can apply my revenue cycle expertise, customer service background, and attention to detail to help healthcare providers maximize reimbursements while delivering outstanding support to patients, providers, and insurance partners.
