Current Employment Status:
Hired Full Time on Jul 1, 2026
Hello and welcome to my profile!
I am a licensed pharmacist with over four years of experience in medical assistance and medical billing. My expertise lies in AR follow-ups, eligibility verification, authorizations, referrals, payment posting, and patient collections. I have a thorough understanding of the end-to-end process of Revenue Cycle Management (RCM), from patient scheduling and insurance verification to claims submission and payment posting. My skills extend to a variety of billing software, including Athena 1, Intergy, Charm, e-Clinical Works, Wep PT, ChiroTouch, Advance MD, and egnite, ensuring smooth and accurate management of claims and billing processes.
Experience: 2 - 5 years
I work on claims and different denials and rejections, review remits and EOBs, post payments, work on authorization, and insurance verification. Some responsibilities include: ***Reviewing denials on an explanation of benefits (EOB) statement and working on issues until resolved. ***Log onto an insurance website/portal (if available) to investigate insurance denials and rejections. ***Analyzing Accounts Receivable reports to follow up on unpaid claims. ***Sending out appeals on claims that require an appeal. ***Submitting any required documentation to insurance companies as requested. ***Researching the claims for information to process bills in a timely manner. ***Communicating with insurance companies, adjustors, and patients on a regular basis. ***Correcting any errors and resubmitting all unprocessed or returned claims to insurance companies. ***Investigating insurance denials and rejections. ***Executing appropriate collection activities in accordance with practice guidelines.
Experience: Less than 6 months
Experience: 2 - 5 years
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