Performance-driven professional with a distinguished record of audit excellence in high-volume US Healthcare BPO operations.
Expert in comprehensive clinical data abstraction and systematic record reconciliation across Epic,Cerner, Athena, Meditech, and Medhost platforms. Highly proficient in navigating the Revenue Cycle (RCM),specializing in real-time insurance eligibility validation (COB/RTE) and proactive provider escalations to ensure 100%data integrity.
A strategic, HIPAA-compliant specialist recognized for maintaining exemplary quality standards whileconsistently exceeding SLA targets to minimize denials and maximize clean-claim ratios through meticulouscoverage research.
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