Revenue Cycle Management Specialist | Charge Entry, Claims, Denials

Experienced Medical Biller and Revenue Cycle Management professional with a strong background in handling end-to-end billing processes for US healthcare providers. I specialize in managing clean claim submissions, resolving denials, performing accurate payment posting, and conducting thorough A/R follow-ups to ensure faster reimbursements and optimized revenue flow.
I bring hands-on experience working with various specialties and navigating multiple EHR/EMR systems. My approach is detail-oriented, compliance-driven, and focused on accuracy and timely resolution. I am committed to delivering high-quality billing support that helps practices minimize denials, improve collections, and maintain efficient revenue cycle performance.
Key Responsibilities:*Reviewing denials on Explanation of Benefits (EOBs) and working issues until fully resolved*Investigating insurance denials and rejections through payer portals*Analyzing A/R reports and following up on unpaid or pending claims*Preparing and sending appeals for denied claims*Submitting required documentation to insurance companies as needed*Researching and verifying claim information to ensure timely processing*Communicating with insurance companies, adjusters, and patients for claim resolution*Correcting errors and resubmitting unprocessed or returned claims*Executing appropriate collection activities in line with practice guidelines*Handling additional related billing tasks as assigned
Experience & Skills:*Extensive hands-on medical billing experience across different specialties*Proficient in EHR/EMR platforms including DrChrono, Office Ally, Prompt, Tebra, Athena, Greenway Intergy, and SimplePractice*Strong understanding of insurance guidelines, CPT/ICD coding fundamentals, and RCM workflow
I am also a Certified Medical Biller and HIPAA-certified, ensuring full compliance with privacy and security standards.
I’m open to new opportunities, collaborations, and connections within the healthcare billing and RCM space. Feel free to reach out, always happy to connect!