I’m a detail-oriented Medical Billing Specialist trained in the full Revenue Cycle Management (RCM) process—from insurance verification to denial handling and Accounts Receivable (A/R) follow-up.
I understand how critical accuracy, speed, and proper documentation are in healthcare billing. My focus is to help providers receive proper and timely reimbursement through clean claim submissions, persistent follow-ups, and clear communication with payers.
What I Offer:
- Patient and insurance verification
- Charge entry and claims submission
- Claims follow-up and denial resolution
- EOB review and payment posting
- A/R management with detailed tracking
- Familiarity with US healthcare insurance (PPO, HMO, Medicare, Medicaid)
- Tools: Practice Management Systems, clearinghouses, Excel, Google Workspace
Strengths:
- Organized, thorough, and reliable
- Able to work independently and follow SOPs
- Effective written and verbal communication
- Willing to learn industry-specific software
- HIPAA-aware and sensitive to confidentiality
Let’s streamline your billing process and help your practice grow. I'm available for part-time or full-time work, and I’m open to long-term collaboration.
Experience: Less than 6 months
Prepares and submits clean claims electronically using standard forms for outpatient and inpatient services.
Experience: Less than 6 months
Understands the billing process from patient intake to claims submission. Basic knowledge of ICD-10 and CPT codes for common procedures.
Experience: Less than 6 months
Familiar with the end-to-end billing cycle including charge capture, claim submission, payment posting, denial handling, and A/R follow-up.
Experience: Less than 6 months
Posts payments from insurance and patients into the practice management system, and reconciles with EOBs or remittance advice.
Experience: Less than 6 months
Assists in securing approvals from insurance companies for specific procedures or medications before services are rendered.
Experience: Less than 6 months
Verifies patient coverage, policy limitations, deductibles, co-pays, and network status to avoid claim denials.
Experience: Less than 6 months
Identifies reasons for claim denials, prepares appeal letters, and follows up until issues are resolved.
Experience: Less than 6 months
Tracks unpaid claims, contacts insurance payers, and updates billing records to reduce aging A/R.
Experience: Less than 6 months
Creates spreadsheets to monitor A/R status, denial reasons, follow-up schedules, and payment history.
Experience: Less than 6 months
Maintains accuracy in data entry and follows a structured process to prevent billing errors.
Experience: Less than 6 months
Understands the importance of protecting patient information and following confidentiality protocols.
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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