Revenue Cycle Management (RCM) Specialist | Medical Biller | Claims Optimization

Overview

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

at $6.61/hour ($1,280.00/month)

Bachelors degree

Last Active

June 7th, 2026 (yesterday)

Member Since

January 6th, 2023

Profile Description

Hi, I'm Catherine Caparas, a Medical Billing Specialist with over six years of experience in healthcare revenue cycle management. I help clinics, practices, and healthcare businesses reduce denials, improve cash flow, and keep billing operations running smoothly.

WHAT I CAN DO FOR YOU
Claims submission, follow-up, and denial/rejection resolution
Payment posting and end-to-end accounts receivable management
Insurance verification and eligibility checks
Error scrubbing and coding review for clean claim submissions
Collections reporting and billing audits
HIPAA-compliant documentation and recordkeeping

INSURANCE FOLLOW-UP & CLAIMS MANAGEMENT
Review outstanding claims and follow up with payers for timely reimbursement
Identify and correct claim denials, rejections, and underpayments
Resubmit corrected claims with appropriate documentation and coding
Track claim status through payer portals, clearinghouses, and phone calls
Analyze denied or partially paid claims to determine root cause
Prepare and submit appeals with supporting documentation and medical records
Track appeal outcomes and escalate unresolved issues as needed

PATIENT ACCOUNT MANAGEMENT
Manage patient balances after insurance adjudication
Generate and send patient statements per billing cycles
Respond to patient inquiries regarding balances, EOBs, and payment plans
Post patient payments accurately to accounts

SYSTEMS & TOOLS
EHR/EMR: Mpower, Meditech, Epic, Cerner, AdvanceMD, SimplePractice, DrChrono, Sangoma
Insurance Portals: Availity, Emblem, PEAR, UHC, Navinet

INSURANCES HANDLED
Cigna, Anthem BCBS, BlueCross BlueShield, AETNA, Ambetter, UnitedHealthcare, Medicare, Medicaid

OTHER ROLES & EXPERIENCE
Provider Services & Prior Authorization
Member Services / Part D Representative
Authorization & Eligibility Specialist
Medical Claims Analyst
Insurance Verification
Patient Registry Management
Scheduling
Administrative Tasks

Open to full-time or part-time remote work. If you are looking for a reliable and detail-oriented Medical Billing Specialist who delivers results, let's talk!