Medical Billing & Revenue Cycle Specialist

Overview

Looking for full-time work (6 hours/day)

at $8.28/hour ($1,200.00/month)

Post-graduate degree (Masters, Doctorate, etc.)

Last Active

July 6th, 2026 (3 days ago)

Member Since

August 16th, 2019

Profile Description

Medical Billing & Revenue Cycle Specialist with 14+ years of experience supporting U.S. independent physician practices and multi-specialty clinics through outsourced Revenue Cycle Management (RCM) services.
Experienced in Ambulatory Care, Pain Management, and Orthopedics with expertise in Medicare, Medicaid, Workers' Compensation, VA, TRICARE, and major Commercial payers. Proficient in eClinicalWorks, Athenahealth, Prognocis, Brightree, Availity, Waystar, TriZetto, and multiple payer portals.
Throughout my career, I have partnered with healthcare organizations to maintain first-pass claim acceptance rates exceeding 90% through accurate claim review and payer-specific billing practices. I have supported high-volume billing operations, consistently processing 300+ insurance claims and reviewing 200+ EOBs weekly while maintaining productivity and accuracy. Key contributions include:• Resolving complex payer issues, correcting claim errors, and ensuring timely resubmissions.• Reducing aged accounts receivable through proactive insurance follow-up and denial resolution.• Accelerating denial resolution by identifying root causes and coordinating timely payer follow-up.
My experience spans the full revenue cycle, including eligibility and benefits verification, prior authorization, claims submission, payment posting, accounts receivable follow-up, denial management, payment reconciliation, and reimbursement analysis using ICD-10-CM, CPT, HCPCS Level II, modifiers, and CMS-1500 claim forms.
I specialize in solving complex reimbursement challenges and take ownership of issues from initial denial through final resolution by combining detailed claim analysis, payer expertise, and process improvement. I believe effective revenue cycle management goes beyond processing claims—it requires preventing recurring denials, maximizing reimbursement, and continuously improving billing performance.
Core Competencies: Revenue Cycle Management (RCM) • Medical Billing & Claims Processing • Revenue Integrity • HIPAA Compliance • Claims Scrubbing • Clean Claim Review • EOB & ERA Review • Denial Management & Appeals • Accounts Receivable Follow-Up • Cash Posting • Payment Reconciliation • Underpayment Resolution • Payment Variance Analysis • Insurance Eligibility & Benefits Verification • Coordination of Benefits (COB) • Claims Follow-Up • Payer Communications
I welcome opportunities to help healthcare organizations improve reimbursement, reduce denials, accelerate cash flow, and strengthen revenue cycle performance.