Senior RCM Specialist

I have specialized in managing the full revenue cycle for diverse medical specialties, including Mental Health, Pediatrics, and Radiology. In my most recent roles, I have consistently maintained accurate AR records by reconciling daily deposits with posted payments and identifying specific denial patterns to resolve issues quickly. I am highly proficient in navigating complex billing ecosystems, utilizing tools.

Throughout my career, I have specialized in the precise handling of high-volume payment data. In my current role as a Posting Analyst, I am responsible for processing ERA files for high-volume payers and manually posting EOBs for complex or out-of-network claims. My daily responsibilities include reconciling deposits with posted payments to ensure that Accounts Receivable records remain 100?curate. I am highly proficient in navigating various platforms such as WellSky, ClaimMD, QuickBooks and etc., which allows me to maintain a smooth and efficient workflow.

With over 12 years of hands-on experience in medical billing, insurance claims processing, and patient account management, I offer a strong track record of accuracy, efficiency, and dedication to supporting the financial stability. I have specialized in mental health billing, including individual and group therapy services, telehealth claims, and authorization management. I am highly proficient in EHR and billing platforms such as IntakeQ, SimplePractice, AMD, eClinicalWorks (eCW), Kareo and etc. I also have extensive knowledge of commercial and government payer guidelines related to behavioral health. My focus on detail and process improvement has consistently resulted in high first-pass claim acceptance rates and reduced accounts receivable through proactive resolution of eligibility issues, coding discrepancies, and payer-specific denials.