Medical Billing Representative

I have solid experience as a medical biller, handling the end-to-end billing process for healthcare providers. My responsibilities include accurately entering patient information, verifying insurance eligibility, preparing and submitting claims using ICD-10, CPT, and HCPCS codes, and following up on denied or unpaid claims. I'm skilled in using medical billing software and EHR systems, and I have a strong understanding of insurance guidelines and HIPAA compliance. I also communicate effectively with providers, insurance companies, and patients to resolve billing issues and ensure timely payments.

I’m experienced in full-cycle Revenue Cycle Management, from patient registration and insurance verification to claim submission, payment posting, and account follow-ups. I make sure every step in the billing process flows smoothly to maximize cash flow and minimize delays. I’m familiar with key metrics like days in A/R and denial rates, and I consistently work to improve the overall financial performance of healthcare practices through efficient billing practices and timely follow-ups.

I have hands-on experience managing insurance claim denials, identifying root causes, and taking appropriate action to ensure accurate and timely resolution. I review Explanation of Benefits (EOBs), correct coding or billing errors, submit appeals when needed, and coordinate with providers and insurance reps to reduce rejections and improve claim acceptance rates. My goal is to minimize revenue loss and ensure all valid claims are reimbursed properly.