Princess

Revenue Cycle Management Specialist | Denial Resolution & AR Recovery | Multi-Sp

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Overview

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

at $8.32/hour ($1,600.00/month)

Bachelors degree

Last Active

March 21st, 2026 (98 days ago)

Member Since

February 16th, 2026

Profile Description

I am a Certified Medical Billing and Revenue Cycle Management Specialist with extensive experience supporting U.S.-based independent medical practices and third-party billing companies across multiple specialties.
My expertise covers the full claim lifecycle — including charge entry, insurance verification, claim submission, EOB/ERA reconciliation, denial management, and accounts receivable follow-up. I ensure accurate charge capture aligned with CPT and ICD-10 guidelines to maintain clean claim rates and minimize reimbursement delays.
With both provider-side and payer-side claims experience, I bring advanced knowledge of:
• Eligibility and prior authorization denials
• Coordination of Benefits (COB) discrepancies
• CPT/ICD-10 coding validation and compliance
• Aging report analysis and AR recovery strategies
• Denial trend analysis and root cause resolution
• Clean claim optimization and revenue performance improvement
Systems & Tools:
ATHENA | eClinicalWorks | SimplePractice | DrChrono | Office Ally | ClaimShuttle | PROMPT | Veradigm
Availity | Novitasphere | UHC Portal | Medicare portals
RingCentral | Zoom | Avaya | Google Workspace
I specialize in improving revenue cycle efficiency by:
? Reducing denial rates through proactive review
? Accelerating reimbursement turnaround
? Recovering aged receivables
? Strengthening billing workflows and compliance standards
I am seeking long-term partnerships with healthcare providers and billing organizations that value accountability, accuracy, compliance, and sustainable revenue growth.

Top Skills

MR / Medical Software

Experience: 1 - 2 years

Experienced in full-cycle U.S. medical billing, including charge entry, payment posting, EOB/ERA reconciliation, denial management, AR follow-ups, and claims resubmission for multi-specialty providers.

Experience: Less than 6 months

Skilled in identifying root causes of denials (eligibility, authorization, coding, COB, and timely filing), preparing appeals, and executing systematic follow-up workflows to maximize reimbursement.

Experience: 1 - 2 years

Proficient in aging analysis, high-dollar claim prioritization, payer follow-ups via portal and phone, and reducing AR days through structured collection strategies.

Other Skills

Experience: Less than 6 months

Handled provider and insurance communications professionally via phone and email, resolving claim inquiries, billing disputes, and reimbursement concerns.

Experience: 1 - 2 years

Hands-on experience in reviewing and processing insurance claims, analyzing remittance advice, correcting claim errors, and resolving rejections and denials in accordance with payer guidelines.

Experience: 1 - 2 years

Experienced in navigating Availity, Novitasphere, UHC Portal, Medicare, and commercial payer systems for claim status checks, appeals submission, eligibility review, and payment reconciliation

Experience: 10+ years

Proficient in RingCentral, Zoom, Avaya, Google Workspace, and other remote communication platforms for team collaboration and payer follow-ups.

Experience: 10+ years

Accurate, high-volume charge entry, demographic updates, insurance input, and claim corrections, with strong attention to detail and compliance standards.

Experience: 1 - 2 years

Working knowledge of CPT, ICD-10-CM, and HCPCS codes, including modifier usage and documentation review to prevent claim rejections and underpayments.

Basic Information

Age
36
Gender
Female
Website
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Address
Kawit, Cavite
Tests Taken
English
C2(Advanced/Mastery)
Government ID
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“For years, I maxed out my hours, got burnt out, and the quality of my work would start to go down. I decided to take the leap, hire correctly, and now it frees up my time to focus on growing the business.”

Tyler Gies

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