Medical Billing & Claims Specialist

I am a detail-oriented and results-driven Medical Billing Specialist with strong experience in insurance verification, claims submission, and denial management. I have hands-on expertise working with commercial insurance, Medicare Advantage plans, and secondary payers, ensuring accurate claim processing and timely reimbursement. I am highly skilled in identifying and resolving claim denials, including coordination of benefits (COB) issues, eligibility rejections, duplicate denials, and incorrect payer ID submissions. I regularly communicate with insurance representatives to obtain claim status updates, correct billing errors, and secure proper payment. In addition, I maintain thorough documentation through clear and precise system notes, professional email communication, and patient-friendly text messaging. My strengths include attention to detail, strong follow-up skills, knowledge of CPT coding guidelines, and the ability to work efficiently under high-volume billing environments. I am committed to accuracy, compliance, and maximizing revenue while ensuring patients and providers receive clear and professional support throughout the billing process.