Medical Billing Specialist | AR & Denials Management | RCM Expert | Healthcare V

I have two years of experience in Revenue Cycle Management, supporting different parts of the medical billing process such as insurance eligibility verification, claim submission, payment posting, accounts receivable follow-up, and denial management. In my role, I verify patient insurance and benefits before claims are submitted to reduce denials. I also submit and review claims to ensure accuracy and compliance with payer requirements. When claims are denied or unpaid, I investigate the reason, make the necessary corrections, and resubmit or appeal the claim. I also handle ERA/EOB payment posting and reconcile payments, and I perform A/R follow-ups to monitor outstanding claims and ensure timely reimbursement. I have experience using eClinicalWorks, Tebra, and AdvancedMD, as well as payer portals like Availity, Cigna, UHC Provider Portal, and Anthem.

I have experience in posting payments from ERA and EOB accurately into the system while ensuring proper allocation and reconciliation. I carefully review adjustments, denials, and discrepancies to maintain accurate financial records. I also flag any inconsistencies and coordinate with the team to resolve issues promptly.

I have over 2 years of hands-on experience in full-cycle medical billing, handling end-to-end Revenue Cycle Management processes. My experience includes charge entry, claims submission, insurance verification, payment posting, and accounts receivable follow-ups. I have worked with multiple specialties such as behavioral health, physical therapy, dermatology, and home healthcare, which helped me understand different payer requirements and billing workflows. I focus on submitting clean claims, minimizing denials, and ensuring timely reimbursements.

I perform detailed eligibility and benefits verification prior to claim submission to ensure accuracy and avoid preventable denials. This includes checking coverage, co-pays, deductibles, and authorization requirements through payer portals and verification systems.

I have strong experience in handling denied and rejected claims by analyzing the root cause and taking corrective action. This includes reviewing EOBs, correcting errors, resubmitting claims, and preparing appeals when necessary. I am familiar with common denial reasons such as eligibility issues, coding errors, authorization requirements, and timely filing limits, and I work proactively to prevent them from recurring.

I am trained in HIPAA and consistently ensure that all patient information is handled with strict confidentiality and security. I follow proper protocols when accessing, processing, and sharing sensitive data.

As a Healthcare VA, I support administrative and billing tasks including patient coordination, scheduling, insurance verification, and claims processing. I am organized, detail-oriented, and capable of working independently in a remote environment.