Team Manager/Medical Billing/Claims and Denial Specialist/IV

Overview

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

at $12.54/hour ($2,400.00/month)

Bachelors degree

Last Active

April 11th, 2026 (62 days ago)

Member Since

January 10th, 2022

Profile Description

I am a highly experienced Team Manager with over 9 years of combined experience in the billing, sales, and technical support fields. With extensive knowledge in medical billing and HIPAA certification, I have honed my skills in team management and technical processes to deliver high-quality results. My approach is results-driven, and I am passionate about ensuring that both patients and organizations achieve optimal outcomes through effective management, billing processes, and support services.
My Services
1. Medical Billing Services
With a comprehensive understanding of the medical billing process, I can help streamline and manage all aspects of medical billing to ensure accuracy and timely payments.
Entering Patient Information: Efficiently input patient details, financial information, treatment types, CDT/CPT codes, and insurance data into billing software(ModMed, Charm, HealthFusion, Office Ally, Eclinical Works, NovoClinical).
Insurance Verification: Verify insurance coverage via insurance websites or using softphones for real-time information.
Pre-Authorization Submissions: Submit pre-authorizations via paper, website portals, and emails, ensuring all procedures are pre-approved.
Claims Submission: Submit claims to Medicaid, Medicare, and other third-party payers to secure reimbursement for medical services provided.
Patient & Insurance Payments Management: Post and manage payments for both patient accounts and insurance claims, using paper and electronic remittance advice (ERAs).
Follow-Up on Outstanding Balances: Proactively follow up on unpaid or outstanding balances to ensure timely payment and reduce aging receivables.
Denial and Aging Reports Resolution: Research and resolve denied claims or aged accounts by identifying discrepancies and coordinating resolutions with payers and patients.
2. Team Management Services
As a seasoned team manager, I focus on driving performance through high-quality monitoring, coaching, and data analysis. I strive to foster an environment where tea ---------- mbers can excel, achieve their KPIs, and contribute to the success of the organization.
High-Quality Monitoring: Ensure tea ---------- mbers meet key performance metrics (KPIs) and maintain productivity standards while delivering quality service.
One-on-One Coaching: Provide personalized coaching sessions to improve performance, address challenges, and enhance individual KPIs.
Payroll Services/Reports: Manage and prepare payroll reports, ensuring timely and accurate processing of employee compensation.
Data & Deep-Dive Analysis: Analyze team performance data, identify trends, and implement strategies to address challenges and improve overall productivity.
Power BI Reporting & Analytics: Leverage Power BI to create insightful reports and dashboards that provide detailed analytics to monitor and improve team performance.