Good day,
With over 5 years of experience in medical billing and revenue cycle management, I have developed strong expertise in charge entry, accounts receivable follow-up, denial management, payment posting, and insurance claims processing.
Throughout my career, I have worked with a variety of medical specialties, including Cardiology, Physical Therapy, Pain Management, Pediatrics, and OB-GYN. This diverse experience has given me a solid understanding of specialty-specific billing requirements, payer guidelines, and reimbursement processes.
My responsibilities have included accurately entering charges, reviewing claims for completeness and compliance, and ensuring that CPT, ICD-10, modifiers, patient demographics, and insurance information are correctly documented before claim submission. I have extensive experience managing accounts receivable by tracking outstanding claims, investigating payment delays, and following up to secure timely reimbursement.
I am highly experienced in denial management and appeals. I regularly review denied and rejected claims, identify the root cause of denials, make necessary corrections, and submit appeals with supporting documentation when required. I am also comfortable communicating directly with insurance companies to verify claim status, resolve payment issues, clarify denial reasons, and expedite claim processing.
Additionally, I have experience posting insurance and patient payments based on EOBs and ERAs, reconciling payments, identifying discrepancies, and ensuring accurate account balances. My attention to detail and commitment to accuracy have consistently helped maximize reimbursements and reduce claim turnaround times.
I am proficient in working independently, managing multiple priorities, and maintaining HIPAA compliance while delivering high-quality billing support. I am confident that my extensive medical billing experience and strong revenue cycle management skills would make me a valuable addition to your team.
Thank you for your time and consideration. I welcome the opportunity to discuss how my experience can contribute to your organization's success.
Sincerely,
Raymond Macunay
