Mark

Virtual Assistant|Medical Biller| Claims Denials & Appeals

55 ID PROOF
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Overview

Looking for full-time work (8 hours/day)

at $5.66/hour ($1,090.91/month)

Bachelors degree

Last Active

July 9th, 2026 (2 days ago)

Member Since

August 4th, 2024

Profile Description

Senior Revenue Cycle Management (RCM) Specialist with over 6 years in U.S. healthcare operations, including medical billing, claims processing, insurance verification, AR management, and denial resolution. Proven expertise in managing end-to-end revenue cycle workflows, improving reimbursement outcomes, and ensuring payer compliance. Strong background in client-facing support, data analysis, and healthcare systems, including Epic, AdvancedMD, and multiple CRM platforms. Highly adaptable, detail-oriented, and skilled in process optimization and cross-functional collaboration.

Beyond healthcare, I offer strong skills in customer relations, technical support, process optimization, and business development. I am experienced with Salesforce, HubSpot, and multiple EHR/EMR systems, and I excel in both remote and hybrid work settings.

If you’re seeking a dedicated professional to optimize healthcare operations, improve customer experiences, and drive business growth, let’s connect!

Top Skills

Experience: 5 - 10 years

End-to-end management of billing processes including charge entry, claim submission, payment posting, and coordination with payers to ensure timely and accurate reimbursement.

Comprehensive understanding of the full healthcare revenue cycle, from patient intake and insurance verification to coding, billing, claims processing, AR follow-ups, and final reimbursement. Skilled in optimizing workflows, reducing denials, and improving overall financial performance.

Experience: 2 - 5 years

Advanced expertise in assigning and validating accurate CPT, HCPCS, and ICD-10-CM codes based on clinical documentation, ensuring compliance with payer-specific guidelines and regulatory standards. Strong application of NCCI edits, LCD/NCD policies, and appropriate modifier usage to prevent coding errors, reduce denials, and support clean claim submission. Specialized in Infusion, Hydration, and Injection coding, including correct use of time-based billing rules, service hierarchies, and add-on codes for accurate charge capture. Conduct detailed coding validation and charge audits to identify discrepancies, undercoding, and missed revenue opportunities, ensuring audit readiness. Collaborate with providers and clinical teams to ensure documentation supports medical necessity, compliance, and successful claims adjudication.

Other Skills

Basic Information

Age
31
Gender
Male
Website
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Address
Antipolo City, Rizal
Tests Taken
IQ
Score:  117
DISC
Dominance: 15
Influence: 10
Steadiness: 45
Compliance: 30
English
C2(Advanced/Mastery)
Government ID
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