Dynamic healthcare and business operations professional with proven expertise in claims processing, accounts receivable management, and training. Skilled in investigating denials, validating medical claims, and ensuring compliance with payer requirements to optimize reimbursement and minimize revenue loss. Experienced in conducting training needs analysis, creating learning materials, and delivering onboarding and refresher programs that enhance team performance and operational efficiency. Adept at utilizing EHR systems (Epic, Cerner) while maintaining HIPAA compliance and patient confidentiality. Recognized for fostering accuracy, quality, and continuous improvement across medical billing and revenue cycle operations.
Experience: 5 - 10 years
Been under medical biller for several companies already
Experience: 5 - 10 years
verification of eligibility through differect RCM system and posting payments with patient information.
Experience: 5 - 10 years
Have HIPAA and PHI certification for more than 5 years already due to medical billing experiences
Experience: 5 - 10 years
verify claims and eligibility.
Experience: 5 - 10 years
Used microsoft excel for a lot of times due to my teams KPI and to be able to check their statuses
Experience: 5 - 10 years
posting information and verifying the information of patient via call or documents sent by patients
Experience: 5 - 10 years
Experience: 2 - 5 years
checking if remark codes and denial codes are correct or if needs to be appealed.
Experience: 5 - 10 years
checking of diagnosis codes if it is correct with what is assessed by clinicians
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